AGU-CAS-04

Code
AGU-CAS-04
Mercy ID
V-02996-11
Encounter Date
02/04/2009
Last
Aguirre
First
Kassandra
DOB
03/03/2004
County
Gwinnett
Street
202 Club parkway
City
Norcross
State
GA
Zip
30093-
Cell
(708) 983-8524
Family Status
Child/Youth
COB
USA
Gender
Female Child
Housing
Doubling Up
Education Level
Preschool
Home Owner
No

Parents Information

Name DOB COB
Mother Susana Ramirez 06/09/1984 Mexico
Father Ramon Aguirre 11/03/1978 Mexico
Step Parent N/A N/A N/A
Driver
No
Relative
No
Stranger
No
NOTES
Lives With
Parents
Name of School
Sushi House
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
J. Manzo
Data Entry
J. Manzo