SOT-JUA-84

Code
SOT-JUA-84
Mercy ID
V-00004-21
Encounter Date
01/05/2000
Last
Soto
First
Juan
DOB
06/13/1984
County
Dekalb
Street
6750 Peachtree Industrial Blvd. 2205
City
Atlanta
State
GA
Zip
30360-
Home
(404) 454-2231
Family Status
Attached youth
COB
Mexico
Gender
Male Child
Housing
Not Homeless
Education Level
Grade school
Home Owner
No

Parents Information

Name DOB COB
Mother Ana Avellanada 06/09/1962 Mexico
Father Jaime Soto 09/09/1958 Mexico
Step Parent Hector M. Avila 07/17/1979 Mexico
Driver
No
Relative
No
Stranger
No
NOTES
Lives With
Mother
Name of School
Cross Keys
Grade
10th.
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
Y. Garcia
Data Entry
K. Aleman