MAC-MIR-90

Code
MAC-MIR-90
Mercy ID
V-00740-11
Encounter Date
11/07/2001
Last
Macareno
First
Miriam
DOB
12/29/1990
County
Cherokee
Street
640 Lake Side
City
Canton
State
GA
Zip
30115-
Home
(404) 401-1180
Family Status
Attached youth
COB
Mexico
Gender
Female Child
Housing
Not Homeless
Education Level
Grade school
Home Owner
No

Parents Information

Name DOB COB
Mother Maria Marquez Lara 06/10/1975 Mexico
Father Gonzalo Macareno 01/10/1967 Mexico
Step Parent Marcelino Lara 10/05/1977 EEUU
Driver
No
Relative
No
Stranger
No
NOTES
Lives With
Mother w/Stepfather
Name of School
Holy Spring Elementary
Grade
5th.
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