BER-BRA-02

Code
BER-BRA-02
Mercy ID
V-01305-21
Encounter Date
08/22/2007
Last
Berrios
First
Brandon
DOB
12/06/2002
County
Dekalb
Street
1111 Druid Drive Oaks
City
Atlanta
State
GA
Zip
30329-
Cell
(678) 508-5473
Family Status
Attached youth
COB
USA
Gender
Male Child
Housing
Doubling Up
Education Level
Preschool
Home Owner
YES

Parents Information

Name DOB COB
Mother Yadira Vazquez 03/21/1976 Mexico
Father Bernardino Berrios 05/03/1978 Mexico
Step Parent N/A N/A N/A
Driver
No
Relative
No
Stranger
No
NOTES
Lives With
Parents
Name of School
Child Development Center
Grade
Pre-K
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
C. Martinez
Data Entry
J. Manzo