VAR-LOU-74

Code
VAR-LOU-74
Mercy ID
V-01308-01
Encounter Date
08/05/2003
Last
Varela
First
Lourdes
DOB
02/11/1974
County
Dekalb
Street
3574 Bufford Hwy Apt. 4
City
Chamblee
State
GA
Zip
30329-
Home
(404) 325-5796
Cell
(404) 583-1147
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Grade 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
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
K. Aleman