LAG-LIS-63

Code
LAG-LIS-63
Mercy ID
V-02554-01
Encounter Date
07/27/2007
Last
Lagunas
First
Lisa
DOB
08/23/1963
County
Cobb
Street
755 Pastel Dr.
City
Marietta
State
GA
Zip
30008-
Cell
(770) 369-6073
Family Status
Single adult
COB
USA
Gender
Female
Housing
Doubling Up
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
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