MIN-LOU-65

Code
MIN-LOU-65
Mercy ID
V-02526-01
Encounter Date
06/21/2007
Last
Minguela
First
Lourdes
DOB
03/14/1965
County
Cobb
Street
305 Gibson Dr.
City
Kennesaw
State
GA
Zip
30152-
Cell
(404) 957-5360
Family Status
Single adult
COB
USA
Gender
Female
Housing
Doubling Up
Education Level
Preschool
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
G. Landeros
Data Entry
J. Manzo