LOP-ZOR-66

Code
LOP-ZOR-66
Mercy ID
V-01010-01
Encounter Date
02/02/1999
Last
Lopez
First
Zoraida
DOB
02/28/1966
County
Dekalb
Street
4086 Glenwood Rd.
City
Decatur
State
GA
Zip
30032-
Home
(678) 644-3629
Family Status
Single parent w/children
COB
Honduras
Gender
Female
Housing
Not Homeless
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