MEJ-LAU-79

Code
MEJ-LAU-79
Mercy ID
V-02028-01
Encounter Date
09/21/2005
Last
Mejia
First
Laura
DOB
03/08/1979
County
Fulton
Street
80 Georgia Ave
City
Forest park
State
GA
Zip
30297-
Home
(678) 698-6501
Family Status
Single adult
COB
Honduras
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
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
R. Gonzalez