LOB-EDG-74

Code
LOB-EDG-74
Mercy ID
V-02244-02
Encounter Date
05/22/2006
Last
Lobo
First
Edgardo
DOB
03/04/1974
County
Dekalb
Street
3028 Chamblee Tucker Rd
City
Chamblee
State
GA
Zip
30341-
Home
(770) 452-8641
Cell
(770) 480-2761
Family Status
Single parent w/children
COB
Honduras
Gender
Male
Housing
Doubling Up
Education Level
High school graduate
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
No
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
F. Perez
Data Entry
R. Gonzalez