LOZ-ARA-64

Code
LOZ-ARA-64
Mercy ID
V-02859-01
Encounter Date
07/25/2008
Last
Lozano
First
Araceli
DOB
10/04/1964
County
Gwinnett
Street
2256 Sugarloaft Parkway
City
Lawrenceville
State
GA
Zip
30044-
Cell
(404) 468-3518
Family Status
Two parent family w/children
COB
Colombia
Gender
Female
Housing
Single Family
Education Level
College Degree
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