CAR-LOU-78

Code
CAR-LOU-78
Mercy ID
V-03534-01
Encounter Date
03/02/2011
Last
Cardenas
First
Lourdes
DOB
08/10/1978
County
Fulton
Street
3034 Washington Rd. Apt. 6
City
East point
State
GA
Zip
30344-
Cell
(678) 235-1580
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Single Family
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
YES
Limitado Educativo
No
Limitado Impresos
No
Limitado Caminar Latino
No
Intake
G. Landeros
Data Entry
J. Manzo