FLO-LUI-72

Code
FLO-LUI-72
Mercy ID
V-02819-01
Encounter Date
06/17/2008
Last
Flores
First
Luisa
DOB
01/26/1972
County
Clayton
Street
6059 Ledgewood Drive
City
Forest park
State
GA
Zip
30297-
Home
(404) 957-3005
Cell
(404) 361-0486
Family Status
Single parent w/children
COB
El Salvador
Gender
Female
Housing
Single Family
Education Level
Some College
Home Owner
YES

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
J. Perez
Data Entry
J. Manzo