BAR-LIL-80

Code
BAR-LIL-80
Mercy ID
V-03418-01
Encounter Date
09/15/2010
Last
Barragan
First
Lili
DOB
01/23/1980
County
Gwinnett
Street
1695 Grave Rd. # 1505
City
Norcross
State
GA
Zip
30093-
Cell
(404) 343-9673
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Single Family
Education Level
some high school
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