AGU-ENR-69

Code
AGU-ENR-69
Mercy ID
V-02449-02
Encounter Date
03/06/2007
Last
Aguilera
First
Enrique
DOB
09/11/1969
County
Dekalb
Street
2900 Alcoa Court
City
Chamblee
State
GA
Zip
30341-
Home
(770) 457-1744
Cell
(678) 984-3693
Family Status
Two parent family w/children
COB
Mexico
Gender
Male
Housing
Not Homeless
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
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