SOU-LYZ-43

Code
SOU-LYZ-43
Mercy ID
V-03414-01
Encounter Date
08/30/2010
Last
Soures
First
Lyzette
DOB
02/18/1943
County
Fulton
Street
3331 Old Milton Parkway
City
Alpharetta
State
GA
Zip
30005-
Cell
(770) 475-7871
Family Status
Single adult
COB
Chile
Gender
Female
Housing
Single Family
Education Level
High school graduate
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