PER-LID-84

Code
PER-LID-84
Mercy ID
V-01754-01
Encounter Date
11/12/2004
Last
Perez
First
Lidia esperanza
DOB
08/03/1984
County
Dekalb
Street
2795 H Shallowford Rd.
City
Chamblee
State
GA
Zip
30341-
Home
(770) 451-3491
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
Adult, no formal education
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
YES
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