VAL-SER-97

Code
VAL-SER-97
Mercy ID
V-01282-41
Encounter Date
07/16/2003
Last
Valenzuela
First
Sergio
DOB
05/23/1997
County
Fulton
Street
1568 Woodland Circle
City
Atlanta
State
GA
Zip
30316-
Home
(404) 622-9021
Family Status
Attached youth
COB
Mexico
Gender
Male Child
Housing
Not Homeless
Education Level
Grade school
Home Owner
YES

Parents Information

Name DOB COB
Mother Judith Valenzuela 07/02/1978 Mexico
Father Sergio Valenzuela N/A Mexico
Step Parent N/A N/A N/A
Driver
No
Relative
No
Stranger
No
NOTES
Sobrino de Yenny Garcia
Lives With
Mother
Name of School
Huchington Elementary
Grade
1st.
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
Y. Garcia
Data Entry
K. Aleman