LOP-ZEN-61

Code
LOP-ZEN-61
Mercy ID
V-02645-01
Encounter Date
11/06/2007
Last
Lopez
First
Zenaida
DOB
10/11/1961
County
Gwinnett
Street
1822 Gwinett Station Circle
City
Tucker
State
GA
Zip
30084-
Home
(404) 285-3003
Cell
(912) 592-2235
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Single Family
Education Level
Adult, no formal education
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