SUJ-LIL-82

Code
SUJ-LIL-82
Mercy ID
V-01691-01
Encounter Date
09/13/2004
Last
Sujo
First
Lilia
DOB
05/01/1982
County
Fulton
Street
4011 Roswell Rd. Apt. H-4
City
Atlanta
State
GA
Zip
30342-
Home
(404) 484-0085
Cell
(404) 287-7879
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
some high school
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
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