VIL-VIC-01

Code
VIL-VIC-01
Mercy ID
V-01086-22
Encounter Date
01/22/2003
Last
Villanueva
First
Victor
DOB
06/28/2001
County
Fulton
Street
300 College St. #16
City
College park
State
GA
Zip
30337-
Home
(404) 767-5628
Family Status
Attached youth
COB
Mexico
Gender
Male Child
Housing
Not Homeless
Education Level
Child, not in school
Home Owner
YES

Parents Information

Name DOB COB
Mother Judith Barajas 10/03/1973 Mexico
Father Omar Villanueva 06/24/1972 Mexico
Step Parent N/A N/A N/A
Driver
No
Relative
No
Stranger
No
NOTES
Lives With
Parents
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
Y. Garcia
Data Entry
K. Aleman