SOR-DAI-02

Code
SOR-DAI-02
Mercy ID
V-02113-11
Encounter Date
05/31/2006
Last
Sorto
First
Daisy lucia
DOB
09/25/2002
County
Gwinnett
Street
2906 Spruce Circle
City
Snellville
State
GA
Zip
30078-
Home
(678) 760-2813
Family Status
Attached youth
COB
USA
Gender
Female Child
Housing
Not Homeless
Education Level
Child, not in school
Home Owner
No

Parents Information

Name DOB COB
Mother Crystal Masterson 06/07/1982 USA
Father Luis Orlando Sorto 02/22/1978 El Salvador
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
R. Gonzalez
Data Entry
R. Gonzalez