SIA-LIZ-69

Code
SIA-LIZ-69
Mercy ID
V-01049-01
Encounter Date
12/10/2002
Last
Siabato
First
Liz maribel
DOB
05/31/1969
County
Gwinnett
Street
900 Legacy Park Dr. Apt. 1631
City
Lawrenceville
State
GA
Zip
30043-
Home
(678) 376-5277
Cell
(770) 312-0482
Family Status
Single parent w/children
COB
Colombia
Gender
Female
Housing
Not Homeless
Education Level
College Degree
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
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
K. Aleman