LOP-AYD-57

Code
LOP-AYD-57
Mercy ID
V-02328-01
Encounter Date
09/13/2006
Last
Lopez
First
Aydee
DOB
02/02/1957
County
Cobb
Street
490 Windy Hill
City
Smyrna
State
GA
Zip
30082-
Home
(404) 454-8977
Family Status
Single adult
COB
Mexico
Gender
Female
Housing
Not Homeless
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
J. Perez
Data Entry
J. Manzo