CIS-ROG-99

Code
CIS-ROG-99
Mercy ID
V-00587-21
Encounter Date
07/11/2001
Last
Cisneros
First
Rogelio
DOB
12/10/1999
County
Fulton
Street
3707 Buford Hwy #8
City
Atlanta
State
GA
Zip
30329-
Home
(404) 992-6459
Family Status
Attached youth
COB
El Salvador
Gender
Male Child
Housing
Not Homeless
Education Level
Child, not in school
Home Owner
YES

Parents Information

Name DOB COB
Mother Maria Cisneros 07/02/1965 El Salvador
Father Regino Garcia 06/29/1975 Mexico
Step Parent N/A N/A N/A
Driver
No
Relative
No
Stranger
No
NOTES
Lives With
Mother
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
K. Aleman
Data Entry
K. Aleman