LOP-MAR-09

Code
LOP-MAR-09
Mercy ID
V-03513-31
Encounter Date
02/09/2011
Last
Lopez
First
Martha
DOB
03/31/2009
County
Gwinnett
Street
3343 J Peachtree Corners Cir
City
Norcross
State
GA
Zip
30092-
Cell
(678) 260-4395
Family Status
Child/Youth
COB
USA
Gender
Female Child
Housing
Single Family
Education Level
Child, not in school
Home Owner
YES

Parents Information

Name DOB COB
Mother Guadalupe Garcia 09/05/1980 Mexico
Father Gerardo Lopez N/A Mexico
Step Parent N/A N/A N/A
Driver
No
Relative
No
Stranger
No
NOTES
Lives With
Aunt
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
Volunteer
Data Entry
J. Manzo