LUC-CLA-73

Code
LUC-CLA-73
Mercy ID
V-02285-01
Encounter Date
06/28/2006
Last
Luciano
First
Claudia
DOB
09/18/1973
County
Fulton
Street
8275 Attunn Dr.
City
Fairburn
State
GA
Zip
00000-
Home
(770) 774-0906
Family Status
Two parent family w/children
COB
Colombia
Gender
Female
Housing
Not Homeless
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
G. Landeros
Data Entry
J. Manzo