LOP-EMI-53

Code
LOP-EMI-53
Mercy ID
V-00478-02
Encounter Date
04/17/2001
Last
Lopez
First
Emilio
DOB
09/13/1953
County
Fulton
Street
2431 Adina Dr. Apt. I
City
Atlanta
State
GA
Zip
30324-
Home
(404) 231-1837
Family Status
Adult coupie-no children
COB
Mexico
Gender
Male
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
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
R. Miranda
Data Entry
K. Aleman