BIB-LUZ-89

Code
BIB-LUZ-89
Mercy ID
V-02561-01
Encounter Date
08/20/2007
Last
Bibiano
First
Luz
DOB
06/11/1989
County
Dekalb
Street
4339 Hickory Wood
City
Doraville
State
GA
Zip
30360-
Home
(678) 620-2166
Cell
(678) 927-1641
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
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
J. Manzo