Code
MAC-LUZ-69
Mercy ID
V-00336-01
Encounter Date
12/12/2000
Last
Macias
First
Luz
DOB
10/24/1969
County
Fulton
Street
1440 central ave apt 3
City
East point
State
GA
Zip
30344-
Home
(404) 768-4957
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
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
J. Manzo
Data Entry
S. AviƱa