FRA-LID-79

Code
FRA-LID-79
Mercy ID
V-03286-01
Encounter Date
03/16/2010
Last
Franco
First
Lidia
DOB
02/04/1979
County
Gwinnett
Street
3530 Elina Burg Rd.
City
Buford
State
GA
Zip
30519-
Cell
(404) 453-9100
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
H.S. equivalency diploma
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
YES
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