RIZ-REY-87

Code
RIZ-REY-87
Mercy ID
V-03321-01
Encounter Date
05/03/2010
Last
Rizo
First
Reyes
DOB
01/06/1987
County
Dekalb
Street
3658 Buford Hwy. Apt. C-26
City
Atlanta
State
GA
Zip
30329-
Cell
(678) 830-3540
Family Status
Single adult
COB
Mexico
Gender
Female
Housing
Doubling Up
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. Perez
Data Entry
J. Manzo