ESC-ELS-73

Code
ESC-ELS-73
Mercy ID
V-00267-01
Encounter Date
08/18/2000
Last
Escobar escalante
First
Elsa marina
DOB
08/02/1973
County
Gwinnett
Street
4256 pleasant lake vill. Cn a
City
Duluth
State
GA
Zip
30096-
Home
(404) 630-6438
Family Status
Two parent family w/children
COB
Guatemala
Gender
Female
Housing
Doubling Up
Education Level
some high school
Home Owner
No

Parents Information

Name DOB COB
Mother N/A N/A N/A
Father N/A N/A N/A
Step Parent N/A N/A N/A
Driver
YES
Relative
No
Stranger
No
NOTES
Lives With
N/A
Name of School
N/A
Grade
N/A
Who Can't Pickup the Child

Media

NO DOY PERMISO
Authoritation Parent
No
Authoritation Child
No
DOY PERMISO
No
Limitado Educativo
No
Limitado Impresos
No
Limitado Caminar Latino
No
Intake
J. Manzo
Data Entry
S. Aviña