LAR-ALE-78

Code
LAR-ALE-78
Mercy ID
V-02690-01
Encounter Date
01/15/2008
Last
Lara
First
Alejandra
DOB
06/16/1978
County
Gwinnett
Street
3292 Windgate Dr.
City
Buford
State
GA
Zip
30519-
Cell
(678) 749-4528
Family Status
Single parent w/children
COB
Colombia
Gender
Female
Housing
Doubling Up
Education Level
H.S. equivalency diploma
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
G. Landeros
Data Entry
J. Manzo