MOL-LIL-08

Code
MOL-LIL-08
Mercy ID
V-01691-12
Encounter Date
04/15/2009
Last
Molina
First
Liliana
DOB
02/07/2008
County
Fulton
Street
4011 Roswell Rd. H-4
City
Atlanta
State
GA
Zip
30342-
Cell
(404) 287-7879
Family Status
Child/Youth
COB
USA
Gender
Female Child
Housing
Single Family
Education Level
Child, not in school
Home Owner
YES

Parents Information

Name DOB COB
Mother Lilia Sujo 05/01/1982 Mexico
Father Roberto Molina 08/22/1975 Mexico
Step Parent N/A N/A N/A
Driver
No
Relative
No
Stranger
No
NOTES
Lives With
Parents
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
C. Martinez
Data Entry
J. Manzo