LOP-JUA-77

Code
LOP-JUA-77
Mercy ID
V-00880-01
Encounter Date
03/20/2002
Last
Lopez
First
Juana
DOB
02/06/1977
County
Dekalb
Street
3409 Cumberland Court
City
Doraville
State
GA
Zip
30340-
Home
(770) 455-8517
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Adult, no formal education
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
K. Aleman