URI-JOS-76

Code
URI-JOS-76
Mercy ID
V-00451-01
Encounter Date
03/19/2001
Last
Uriostegui
First
Josefa
DOB
07/20/1976
County
Fulton
Street
1356 Gran Crique
City
Roswell
State
GA
Zip
30076-
Home
(678) 795-1663
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
High school graduate
Home Owner
YES

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. Manzo
Data Entry
K. Aleman