CAL-LAU-72

Code
CAL-LAU-72
Mercy ID
V-02323-01
Encounter Date
08/29/2006
Last
Javier
First
Laura
DOB
09/19/1972
County
Cobb
Street
6109 Black Hawk
City
Mableton
State
GA
Zip
30126-
Cell
(678) 259-9879
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Single Family
Education Level
Some College
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
G. Landeros
Data Entry
J. Manzo