TRE-NAY-03

Code
TRE-NAY-03
Mercy ID
V-01485-11
Encounter Date
03/10/2004
Last
Trejo
First
Naydelin
DOB
05/23/2003
County
Fulton
Street
1343 Grand Crique Dr. Apt E
City
Roswell
State
GA
Zip
30076-
Home
(678) 886-7671
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 de Lourdes Martinez 04/05/1980 Mexico
Father Juan Trejo 08/23/1978 Mexico
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
Y. Garcia
Data Entry
K. Aleman