SAL-JUA-91

Code
SAL-JUA-91
Mercy ID
V-01969-22
Encounter Date
07/20/2005
Last
Salazar
First
Juan diego
DOB
11/12/1991
County
Dekalb
Street
4041 N. Cliff Valley
City
Atlanta
State
GA
Zip
30319-
Family Status
Attached youth
COB
Mexico
Gender
Male Child
Housing
Doubling Up
Education Level
Grade school
Home Owner
No

Parents Information

Name DOB COB
Mother Ana Maria Martinez 04/03/1955 Mexico
Father Luis Salazar 02/25/1950 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
7th.
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