JON-LAU-77

Code
JON-LAU-77
Mercy ID
V-01664-01
Encounter Date
08/04/2004
Last
Johnson
First
Laura
DOB
01/01/1977
County
Clayton
Street
Secure House Shelter
City
Not given
State
GA
Zip
00000-0000
Home
(770) 961-7233
Cell
(770) 960-6116
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Shelter
Education Level
some high 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
YES
Relative
No
Stranger
No
NOTES
aka Laura Robles
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