PED-LUI-83

Code
PED-LUI-83
Mercy ID
V-02602-01
Encounter Date
09/24/2007
Last
Pedroza
First
Luisa
DOB
04/24/1983
County
Gwinnett
Street
2951 Satellite Blv. Apt. 125
City
Duluth
State
GA
Zip
30096-
Cell
(678) 668-1482
Family Status
Single parent w/children
COB
Venezuela
Gender
Female
Housing
Doubling Up
Education Level
some high school
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