LOR-ANA-84

Code
LOR-ANA-84
Mercy ID
V-01684-01
Encounter Date
08/24/2004
Last
Lorenzo
First
Ana rosa
DOB
02/14/1984
County
Fulton
Street
7275 Roswell Rd. NE Apt 363
City
Atlanta
State
GA
Zip
30328-
Home
(770) 912-9280
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
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
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. Perez
Data Entry
K. Aleman