AVI-LUC-65

Code
AVI-LUC-65
Mercy ID
V-02374-01
Encounter Date
12/06/2006
Last
Avila
First
Lucila
DOB
06/30/1965
County
Fulton
Street
500 Sulivan Rd.
City
Atlanta
State
GA
Zip
30027-
Cell
(770) 944-8033
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
H.S. equivalency diploma
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
G. Landeros
Data Entry
J. Manzo