LOP-YOL-64

Code
LOP-YOL-64
Mercy ID
V-02765-01
Encounter Date
04/22/2008
Last
Lopez
First
Yolanda
DOB
03/01/1964
County
Gwinnett
Street
2987 Lanier Lane
City
Norcross
State
GA
Zip
30071-
Cell
(678) 389-0653
Family Status
Single adult
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
High school graduate
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