LOM-LAU-80

Code
LOM-LAU-80
Mercy ID
V-02454-01
Encounter Date
04/04/2007
Last
Lomas
First
Laura
DOB
04/16/1980
County
Fulton
Street
511 Carlton Dr.
City
Palmetto
State
GA
Zip
30268-
Home
(770) 463-8221
Cell
(678) 349-8300
Family Status
Single parent w/children
COB
Mexico
Gender
Female
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
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