BAK-LIL-76

Code
BAK-LIL-76
Mercy ID
V-01845-01
Encounter Date
03/08/2005
Last
Baker
First
Lilia
DOB
06/13/1976
County
Henry
Street
1030 Ivey Lane
City
Mcdonald
State
GA
Zip
30253-
Home
(770) 914-7998
Family Status
Single adult
COB
Panamá
Gender
Female
Education Level
Some College
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. Manzo
Data Entry
K. Aleman