CAR-LOR-76

Code
CAR-LOR-76
Mercy ID
V-02988-01
Encounter Date
01/15/2009
Last
Carmona
First
Lorena
DOB
05/15/1976
County
Clayton
Street
1147 Evelyn Dr.
City
Forest park
State
GA
Zip
30297-
Home
(404) 228-7206
Cell
(404) 751-8741
Family Status
Single parent w/children
COB
Puerto Rico
Gender
Female
Housing
Single Family
Education Level
College Degree
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