SIL-ALI-72

Code
SIL-ALI-72
Mercy ID
V-02275-01
Encounter Date
05/05/2006
Last
Silverio
First
Alicia
DOB
06/16/1972
County
Fulton
Street
5801 King Sport Dr.
City
Atlanta
State
GA
Zip
30342-
Home
(404) 943-0442
Cell
(770) 896-1710
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
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
J. Perez
Data Entry
R. Gonzalez