LUN-LIZ-81

Code
LUN-LIZ-81
Mercy ID
V-03382-01
Encounter Date
08/03/2010
Last
Luna
First
Lizett
DOB
03/01/1981
County
Dekalb
Street
7062 Rogers Lake Road
City
Litonia
State
GA
Zip
30058-
Cell
(404) 951-4152
Family Status
Single parent w/children
COB
Mexico
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
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