CAS-JES-65

Code
CAS-JES-65
Mercy ID
V-00012-02
Encounter Date
03/11/1998
Last
Castañeda
First
Jesus
DOB
04/26/1965
County
Gwinnett
Street
1100 Indian Trail Apt. 1828
City
Norcross
State
GA
Zip
30093-
Home
(404) 633-9290
Family Status
Single parent w/children
COB
Mexico
Gender
Male
Housing
Single Family
Education Level
Grade 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
No
Limitado Educativo
No
Limitado Impresos
No
Limitado Caminar Latino
No
Intake
F. Perez
Data Entry
J. Manzo