DEL-BRY-03

Code
DEL-BRY-03
Mercy ID
V-03034-21
Encounter Date
03/25/2009
Last
Del pilar
First
Bryan
DOB
05/22/2003
County
Gwinnett
Street
1134 Seasson Parkway
City
Norcross
State
GA
Zip
30093-
Cell
(678) 353-5179
Family Status
Child/Youth
COB
USA
Gender
Male Child
Housing
Doubling Up
Education Level
Preschool
Home Owner
YES

Parents Information

Name DOB COB
Mother Yomaira Guzman 10/14/1983 Dominican Rep
Father Enrique del Pilar 04/26/1982 Mexico
Step Parent N/A N/A N/A
Driver
No
Relative
No
Stranger
No
NOTES
Lives With
Mother
Name of School
Rockbridge Elem.
Grade
Kinder
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