FON-ESP-98
- Code
- FON-ESP-98
- Mercy ID
- V-00138-12
- Encounter Date
- 03/15/2000
- Last
- Fonseca
- First
- Esperanza
- DOB
- 06/02/1998
- County
- Fulton
- Street
- 3031 Larose St.
- City
- East point
- State
- GA
Parents Information
| Name | DOB | COB | |
|---|---|---|---|
| Mother | Claudia Garcia | 06/09/1977 | Mexico |
| Father | Jorge Fonseca | 04/22/1974 | Mexico |
| Step Parent | N/A | N/A | N/A |
- Driver
- No
- Relative
- No
- Stranger
- No
- Lives With
- Parents
- Name of School
- N/A
- Grade
- N/A
- Who Can't Pickup the Child
- Authoritation Parent
- No
- Authoritation Child
- No
- DOY PERMISO
- No
- Limitado Educativo
- No
- Limitado Impresos
- No
- Limitado Caminar Latino
- No
NOTES
Media
NO DOY PERMISO
- Intake
- J. Perez
- Data Entry
- Y. Garcia