EST-LOR-68

Code
EST-LOR-68
Mercy ID
V-01117-01
Encounter Date
02/12/2003
Last
Estrada
First
Lorena
DOB
12/27/1968
County
Cobb
Street
750 Six Flags Rd. Lot 450
City
Austell
State
GA
Zip
30168-
Home
(770) 745-1864
Cell
(404) 587-2968
Family Status
Single parent w/children
COB
Guatemala
Gender
Female
Housing
Doubling Up
Education Level
High school graduate
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
YES
Stranger
YES
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