CAS-SAI-83

Code
CAS-SAI-83
Mercy ID
V-03186-01
Encounter Date
10/15/2009
Last
Castillo
First
Saira
DOB
07/13/1983
County
Dekalb
Street
931 Woodterrace Court
City
Doraville
State
GA
Zip
30341-
Cell
(404) 578-7513
Family Status
Single parent w/children
COB
Honduras
Gender
Female
Housing
Doubling Up
Education Level
some high 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
YES
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
G. Landeros
Data Entry
J. Manzo