LOP-ALM-71

Code
LOP-ALM-71
Mercy ID
V-00754-01
Encounter Date
11/28/2001
Last
Lopez
First
Alma
DOB
09/27/1971
County
Fulton
Street
1635 Briarwood Apt E
City
Altanta
State
GA
Zip
30319-
Home
(404) 634-6588
Family Status
Single parent w/children
COB
Honduras
Gender
Female
Housing
Doubling Up
Education Level
Grade school
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
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
K. Aleman