OSP-LAU-85

Code
OSP-LAU-85
Mercy ID
V-02176-01
Encounter Date
01/20/2006
Last
Ospina
First
Laura
DOB
04/22/1985
County
Gwinnett
Street
3460 Peachtree Cone Cirlce #130
City
Norcross
State
GA
Zip
30092-
Cell
(404) 993-3453
Family Status
Single parent w/children
COB
USA
Gender
Female
Housing
Transitional
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
G. Landeros
Data Entry
R. Gonzalez