LAB-YAS-79

Code
LAB-YAS-79
Mercy ID
V-02219-01
Encounter Date
04/11/2006
Last
Labastida
First
Yasmin
DOB
05/27/1979
County
Fulton
Street
2749 Blount St.
City
Atlanta
State
GA
Zip
30344-
Home
(404) 761-2779
Cell
(404) 425-4980
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Single Family
Education Level
H.S. equivalency diploma
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