CRU-BRE-00

Code
CRU-BRE-00
Mercy ID
V-00038-12
Encounter Date
02/10/2004
Last
Cruz
First
Brenda
DOB
11/13/2000
County
Gwinnett
Street
P. O. Box 28
City
Lilburn
State
GA
Zip
30048-
Home
(404) 316-4013
Family Status
Attached youth
COB
Mexico
Gender
Female Child
Housing
Doubling Up
Education Level
Child, not in school
Home Owner
No

Parents Information

Name DOB COB
Mother Maria del Rocio Tapia 06/14/1969 Mexico
Father N/A N/A Mexico
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
K. Aleman
Data Entry
K. Aleman