COR-MIC-65

Code
COR-MIC-65
Mercy ID
V-00088-02
Encounter Date
02/16/2000
Last
Cordero
First
Michael
DOB
10/25/1965
County
Fulton
Street
1505 chattahooche ave#80
City
Atlanta
State
GA
Zip
30318-
Home
(770) 435-2007
Family Status
Two parent family w/children
COB
Puerto Rico
Gender
Male
Housing
Not Homeless
Education Level
College Degree

Spouse Information

Last
Cruz
First
Olga
Middle
I.
DOB
11/30/1960
Address
same
Telephone
N/A
COB
Mexico
Home Owner
YES
Driver
No
Home Owner
YES
SOLO
No
Court Mandated
No
Program Completed
YES
DFCS Mandated
No
Alcohol & Drug
No
Partner Referred to Tepestri
No
Recidivism/Court
No
New Incident
No
Promesa de Confidencialidad
No
Consentimiento De Participar
No

Petitioner

TPO
No
Stay Away Condition
No
Mutual
No

Defendant

TPO
No
Stay Away Condition
No
Mutual
No
Driver
No
As A Child
No
Relative
No
Stranger
No
As An Adult
No
Partner
No
Relative
No
Stranger
No

Children

NAME DOB LIVING WITH STATE/COUNTRY
isalane cordero 03/10/1987 Mother GA/USA
mihcael cordero 07/25/1990 Mother GA/USA
yashira cordero 05/17/1988 Mother GA/USA
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
R. Miranda
Data Entry
D. Gomez
Referred By
404-367-0479