CAS-SIL-67

Code
CAS-SIL-67
Mercy ID
V-00684-01
Encounter Date
09/19/2001
Last
Castillo
First
Silvia
DOB
03/18/1967
County
Cobb
Street
3510 Buford Hwy apt. W-7
City
Atlanta
State
GA
Zip
30329-
Home
(678) 488-9405
Cell
(404) 659-0400
Family Status
Single parent w/children
COB
Guatemala
Gender
Female
Housing
Doubling Up
Education Level
Grade school
Home Owner
YES

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
K. Aleman