ART-LES-64

Code
ART-LES-64
Mercy ID
V-02437-01
Encounter Date
03/16/2007
Last
Artola
First
Lesbia
DOB
02/08/1964
County
Gwinnett
Street
1575 Brisban Dr.
City
Dacula
State
GA
Zip
30019-
Home
(770) 513-7997
Family Status
Single parent w/children
COB
Nicaragua
Gender
Female
Housing
Not Homeless
Education Level
High school graduate
Home Owner
YES

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
J. Perez
Data Entry
J. Manzo