Code
PAL-LUZ-55
Mercy ID
V-00428-01
Encounter Date
02/27/2001
Last
Palecio
First
Luz maria
DOB
10/09/1955
County
Cobb
Street
3761 laurel green rd
City
Aculorth
State
GA
Zip
30101-
Home
(770) 529-1062
Family Status
Two parent family w/children
COB
Colombia
Gender
Female
Housing
Not Homeless
Education Level
Child, not in school
Home Owner
YES

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. Perez
Data Entry
D. Gomez