HER-LEO-67

Code
HER-LEO-67
Mercy ID
V-02855-01
Encounter Date
07/16/2008
Last
Heredia
First
Leonor
DOB
05/10/1967
County
Gwinnett
Street
1306 Sugar Wood Lane
City
Norcross
State
GA
Zip
30093-
Home
(770) 381-7851
Cell
(770) 256-2218
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Single Family
Education Level
Vocational/Technical
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
YES
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