PER-LUZ-98

Code
PER-LUZ-98
Mercy ID
V-00087-12
Encounter Date
02/21/2000
Last
Perez
First
Luz maria
DOB
10/16/1998
County
Fulton
Street
2044 dowm ln nw
City
Atlanta
State
GA
Zip
30318-
Home
(404) 355-4089
Family Status
Attached youth
COB
Mexico
Gender
Female Child
Housing
Doubling Up
Education Level
Child, not in school
Home Owner
YES

Parents Information

Name DOB COB
Mother daisy coronado 06/25/1982 Mexico
Father jose perez 10/26/1966 Guatemala
Step Parent N/A N/A N/A
Driver
No
Relative
No
Stranger
No
NOTES
Lives With
Parents
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
D. Gomez