CLO-LUZ-57

Code
CLO-LUZ-57
Mercy ID
V-00955-01
Encounter Date
06/18/2002
Last
Close
First
Luz
DOB
08/05/1957
County
Fulton
Street
1465 Mid Broadway Rd. 1102
City
Alpharetta
State
GA
Zip
30004-
Home
(770) 663-8831
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
College Degree
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