CER-ALE-99

Code
CER-ALE-99
Mercy ID
V-00421-21
Encounter Date
03/07/2001
Last
Cervantes
First
Alexis
DOB
12/21/1999
County
Dekalb
Street
4969 Central Dr. #204A
City
Stone mountain
State
GA
Zip
30083-
Home
(770) 413-1749
Family Status
Attached youth
COB
Guatemala
Gender
Male Child
Housing
Doubling Up
Education Level
Child, not in school
Home Owner
YES

Parents Information

Name DOB COB
Mother Mayra Gomez 10/17/1975 Guatemala
Father Sergio Cervantes 10/07/1961 Guatemala
Step Parent N/A N/A N/A
Driver
No
Relative
No
Stranger
No
NOTES
Lives With
Parents
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
K. Aleman
Data Entry
K. Aleman