ANG-LIZ-36

Code
ANG-LIZ-36
Mercy ID
V-02915-01
Encounter Date
10/13/2008
Last
Angarita
First
Liz
DOB
03/28/1936
County
Fulton
Street
3585 Apple Circle Rd.
City
Riverdale
State
GA
Zip
30296-
Cell
(954) 588-4291
Family Status
Single adult
COB
Colombia
Gender
Female
Housing
Doubling Up
Education Level
Post Grad Degree
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
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