LIR-EVA-81

Code
LIR-EVA-81
Mercy ID
V-01665-01
Encounter Date
07/30/2004
Last
Lira
First
Eva
DOB
04/12/1981
County
Gwinnett
Street
2009 Rockbridge Ct. Apt H7-9
City
Norcross
State
GA
Zip
30093-
Home
(770) 242-1220
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
YES
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. Perez
Data Entry
K. Aleman