CEJ-YAN-82

Code
CEJ-YAN-82
Mercy ID
V-01918-01
Encounter Date
06/27/2005
Last
Ceja
First
Yanin
DOB
11/26/1982
County
Fulton
Street
811 Park Ridge Lane Apt. D
City
Roswell
State
GA
Zip
30076-
Cell
(678) 851-6164
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Single Family
Education Level
some high school
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
YES
Relative
YES
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
YES
Limitado Educativo
No
Limitado Impresos
No
Limitado Caminar Latino
No
Intake
G. Landeros
Data Entry
K. Aleman