TRE-MIC-03

Code
TRE-MIC-03
Mercy ID
V-02960-11
Encounter Date
01/07/2009
Last
Trejo
First
Michelle
DOB
11/27/2003
County
Gwinnett
Street
2026 Hunter Club Ln.
City
Norcross
State
GA
Zip
30093-
Home
(770) 934-1899
Cell
(678) 777-0935
Family Status
Child/Youth
COB
USA
Gender
Female Child
Housing
Single Family
Education Level
Preschool
Home Owner
No

Parents Information

Name DOB COB
Mother Maria I Salazar 07/08/1973 Mexico
Father Jesus Trejo 06/22/1976 USA
Step Parent N/A N/A N/A
Driver
No
Relative
No
Stranger
No
NOTES
Lives With
Mother
Name of School
Sushine House Pre-K
Grade
Pre-K
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
C. Martinez
Data Entry
J. Manzo