AVE-ALA-01
- Code
- AVE-ALA-01
- Mercy ID
- V-00850-21
- Encounter Date
- 02/27/2002
- Last
- Avellaneda
- First
- Alan
- DOB
- 10/10/2001
- County
- Dekalb
- Street
- 2882 Hillwood Terrace
- City
- Atlanta
- State
- GA
Parents Information
| Name | DOB | COB | |
|---|---|---|---|
| Mother | Maria de la Luz Silva | 11/23/1980 | Mexico |
| Father | Abel Avellaneda | 12/15/1976 | Mexico |
| Step Parent | N/A | N/A | N/A |
- Driver
- No
- Relative
- No
- Stranger
- No
- Lives With
- Parents
- Name of School
- N/A
- Grade
- N/A
- Who Can't Pickup the Child
- Authoritation Parent
- No
- Authoritation Child
- No
- DOY PERMISO
- No
- Limitado Educativo
- No
- Limitado Impresos
- No
- Limitado Caminar Latino
- No
NOTES
Media
NO DOY PERMISO
- Intake
- Y. Garcia
- Data Entry
- K. Aleman