BRU-KEL-79

Code
BRU-KEL-79
Mercy ID
V-01206-02
Encounter Date
03/08/2011
Last
Bruno
First
Kelvin
DOB
09/01/1979
County
Dekalb
Street
4620 Peachtree Place parkway D
City
Doraville
State
GA
Zip
30360-
Cell
(404) 749-6159
Family Status
Single adult
COB
Puerto Rico
Gender
Male
Housing
Doubling Up
Education Level
High school graduate
Home Owner
YES

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
J. Manzo
Data Entry
J. Manzo