ZAM-GUI-98

Code
ZAM-GUI-98
Mercy ID
V-00703-21
Encounter Date
10/03/2001
Last
Zamora
First
Guillermo
DOB
01/31/1998
County
Dekalb
Street
755 Scott Blvd. Apt. 4
City
Decatur
State
GA
Zip
30030-
Home
(404) 729-9807
Family Status
Attached youth
COB
Argentina
Gender
Male Child
Housing
Doubling Up
Education Level
Child, not in school
Home Owner
No

Parents Information

Name DOB COB
Mother Alexandra Martinez 01/24/1964 Argentina
Father Jose Luis Zamora 11/04/1961 Argentina
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