COR-KIM-01

Code
COR-KIM-01
Mercy ID
V-01719-11
Encounter Date
10/20/2004
Last
Cortez
First
Kimberly
DOB
08/14/2001
County
Fulton
Street
390 Irwin St. I9
City
Atlanta
State
GA
Zip
30312-
Home
(404) 223-0245
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 Orfelina Cortez 01/16/1977 Mexico
Father Marco A. Cruz 10/23/1982 Mexico
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
Y. Garcia
Data Entry
K. Aleman