PUL-GLO-47

Code
PUL-GLO-47
Mercy ID
V-00426-01
Encounter Date
02/28/2001
Last
Pulcha
First
Gloria
DOB
03/15/1947
County
Fulton
Street
5501 Glenn Ridge Dr Apt 255
City
Sandy springs
State
GA
Zip
30350-
Home
(404) 518-7343
Family Status
Single adult
COB
Perú
Gender
Female
Housing
Doubling Up
Education Level
Grade 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
No
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. Perez
Data Entry
D. Gomez