ENR-LIZ-85

Code
ENR-LIZ-85
Mercy ID
V-01600-01
Encounter Date
05/03/2004
Last
Searfoss
First
Liza
DOB
05/14/1985
County
Cobb
Street
4939 Oakdale Rd. Apt 9-K
City
Smyrna
State
GA
Zip
30080-
Home
(678) 768-2738
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
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
K. Aleman