LEO-MAR-85

Code
LEO-MAR-85
Mercy ID
V-02287-01
Encounter Date
07/03/2006
Last
Leon
First
Maria de la luz
DOB
11/07/1985
County
Douglass
Street
2040 Chestnut log Dr.
City
Lithian spring
State
GA
Zip
30122-
Home
(678) 398-6889
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Grade 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
ref. por Diana Rico Babies can't wait
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
J. Manzo