RIJ-EST-67

Code
RIJ-EST-67
Mercy ID
V-01519-02
Encounter Date
03/30/2004
Last
Rijos
First
Esteban
DOB
03/17/1967
County
Gwinnett
Street
4574 Concourt
City
Snellville
State
GA
Zip
30039-
Home
(404) 915-0229
Cell
(770) 662-3559
Family Status
Single adult
COB
Mexico
Gender
Male
Housing
Transitional
Education Level
High school graduate
Home Owner
No

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
R. Miranda
Data Entry
K. Aleman