MEJ-LIL-63

Code
MEJ-LIL-63
Mercy ID
V-03204-01
Encounter Date
11/04/2009
Last
Mejia
First
Lilia
DOB
11/06/1963
County
Dekalb
Street
1734 Dresdren Drive
City
Atlanta
State
GA
Zip
30319-
Home
(770) 457-5287
Cell
(404) 216-8850
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Single Family
Education Level
High school graduate
Home Owner
YES

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