FLO-LAU-75

Code
FLO-LAU-75
Mercy ID
V-01164-01
Encounter Date
03/21/2003
Last
Flores
First
Laura
DOB
02/06/1975
County
Gwinnett
Street
805 Wynhonnow Trace Apt. 4
City
Norcross
State
GA
Zip
30071-
Home
(678) 966-0715
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Vocational/Technical
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