BAE-MAR-91
- Code
- BAE-MAR-91
- Mercy ID
- V-02567-11
- Encounter Date
- 08/22/2007
- Last
- Baeza
- First
- Marcela
- DOB
- 09/07/1991
- County
- Dekalb
- Street
- 3568 Old Chamblee Tucker Rd. #-8
- City
- Doraville
- State
- GA
Parents Information
| Name | DOB | COB | |
|---|---|---|---|
| Mother | Maria Teresa Lopez | 03/17/1963 | Chile |
| Father | Edgardo Baeza | 10/31/1963 | Chile |
| Step Parent | N/A | N/A | N/A |
- Driver
- No
- Relative
- No
- Stranger
- No
- Lives With
- Mother
- Name of School
- Lakeside H.S.
- Grade
- 9th.
- 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
- C. Martinez
- Data Entry
- J. Manzo