SAM-LIL-76

Code
SAM-LIL-76
Mercy ID
V-00464-01
Encounter Date
12/26/2007
Last
Mejia
First
Liliana
DOB
03/14/1976
County
Fulton
Street
4825 Northbridge Dr.
City
Alpharetta
State
GA
Zip
30022-
Home
(770) 619-3272
Family Status
Two parent family 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
YES
Relative
No
Stranger
No
NOTES
***2009. NOANNUAL RETURN***
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