CUZ-MIL-67

Code
CUZ-MIL-67
Mercy ID
V-01591-01
Encounter Date
05/11/2004
Last
Cuzquen
First
Milagros
DOB
01/12/1967
County
Fulton
Street
202 Morgan Plantin Dr.
City
Atlanta
State
GA
Zip
30350-
Home
(770) 698-8488
Cell
(770) 256-2763
Family Status
Two parent family w/children
COB
Perú
Gender
Female
Housing
Not Homeless
Education Level
College Degree

Spouse Information

Last
Ego aguirre
First
Luis felipe
DOB
09/23/1975
Address
N/A
Telephone
N/A
COB
Perú
Home Owner
No
Driver
No
Home Owner
No
SOLO
No
Court Mandated
No
Program Completed
No
DFCS Mandated
No
Alcohol & Drug
No
Partner Referred to Tepestri
No
Recidivism/Court
No
New Incident
No
Promesa de Confidencialidad
YES
Consentimiento De Participar
YES

Petitioner

TPO
No
Stay Away Condition
No
Mutual
No

Defendant

TPO
No
Stay Away Condition
No
Mutual
No
Driver
YES
As A Child
No
Relative
No
Stranger
No
As An Adult
No
Partner
No
Relative
YES
Stranger
No

Children

NAME DOB LIVING WITH STATE/COUNTRY
Alexia Ego Aguirre 12/13/2002 Parents GA/USA
Chiara Chavez 05/14/1994 Mother w/Stepfather GA/USA
Michaela Ego Aguirre 05/11/2000 Parents GA/USA
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
J. Manzo
Data Entry
K. Aleman
Referred By
Corte/Damaryz