LOP-GLO-56

Code
LOP-GLO-56
Mercy ID
V-03025-01
Encounter Date
03/10/2009
Last
Lopez
First
Gloria
DOB
01/04/1956
County
Gwinnett
Street
4182 Vowers Pointe Dr.
City
Lilburn
State
GA
Zip
30047-
Cell
(678) 558-8980
Family Status
Single adult
COB
Colombia
Gender
Female
Housing
Doubling Up
Education Level
Some College
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
J. Perez
Data Entry
J. Manzo