LIC-NOR-76

Code
LIC-NOR-76
Mercy ID
V-01006-01
Encounter Date
08/21/2002
Last
Lizardo
First
Norma
DOB
10/13/1976
County
Gwinnett
Street
6486 Summit Point B
City
Norcross
State
GA
Zip
30071-
Home
(770) 729-3994
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Grade 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
J. Manzo
Data Entry
K. Aleman