ADA-GAB-78

Code
ADA-GAB-78
Mercy ID
V-00660-02
Encounter Date
08/14/2001
Last
Adan
First
Gabriel
DOB
01/03/1978
County
Dekalb
Street
55 Northwood
City
Atlanta
State
GA
Zip
30342-
Home
(404) 256-9707
Family Status
Adult coupie-no children
COB
Mexico
Gender
Male
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
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
R. Miranda
Data Entry
K. Aleman