QUI-JOA-80

Code
QUI-JOA-80
Mercy ID
V-03037-02
Encounter Date
06/23/2009
Last
Quiroz
First
Joaquin
DOB
05/21/1980
County
Cobb
Street
3060 Buford Hwy NE Apt. A-20
City
Atlanta
State
GA
Zip
30329-
Cell
(404) 914-4482
Family Status
Single adult
COB
Mexico
Gender
Male
Housing
Shelter
Education Level
Grade 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