LOZ-DAM-76

Code
LOZ-DAM-76
Mercy ID
V-00925-01
Encounter Date
05/14/2002
Last
Lozada
First
Damarys
DOB
10/23/1976
County
Gwinnett
Street
2021 Bentleley Dr.
City
Stone mountain
State
GA
Zip
30087-
Home
(770) 469-0411
Family Status
Single parent w/children
COB
Puerto Rico
Gender
Female
Housing
Doubling Up
Education Level
some high 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. Manzo
Data Entry
K. Aleman