ERG-ZUL-70

Code
ERG-ZUL-70
Mercy ID
V-00450-01
Encounter Date
03/20/2001
Last
Ergueta
First
Zulia
DOB
02/24/1970
County
Rockdale
Street
20305 sait james
City
Coyers
State
GA
Zip
30094-
Home
(770) 761-4536
Family Status
Two parent family w/children
COB
Bolivia
Gender
Female
Housing
Not Homeless
Education Level
College Degree
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. Perez
Data Entry
S. Aviña