CEC-CAI-72

Code
CEC-CAI-72
Mercy ID
V-02325-02
Encounter Date
09/19/2006
Last
Cecena
First
Cain
DOB
08/04/1972
County
Gwinnett
Street
1700 Hurte Ln. #4906
City
Norcross
State
GA
Zip
30092-
Family Status
Two parent family w/children
COB
Mexico
Gender
Male
Housing
Doubling Up
Education Level
Adult, no formal education
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
No
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. Manzo
Data Entry
J. Manzo