MAC-DIA-97

Code
MAC-DIA-97
Mercy ID
V-00740-13
Encounter Date
11/07/2001
Last
Macareno
First
Diamond ruby
DOB
04/03/1997
County
Cherokee
Street
640 Lake Side Dr. #12
City
Canton
State
GA
Zip
30115-
Home
(404) 401-1180
Family Status
Attached youth
COB
Mexico
Gender
Female Child
Housing
Not Homeless
Education Level
Preschool
Home Owner
YES

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
Pre-K
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