DIA-ERI-94

Code
DIA-ERI-94
Mercy ID
V-01093-22
Encounter Date
01/22/2003
Last
Diaz
First
Erick
DOB
09/23/1994
County
Dekalb
Street
3375 Aztec Dr. Apt. 42
City
Doraville
State
GA
Zip
30342-
Home
(770) 986-4118
Family Status
Attached youth
COB
Mexico
Gender
Male Child
Housing
Doubling Up
Education Level
Grade school
Home Owner
No

Parents Information

Name DOB COB
Mother Erika Vaquez 06/17/1975 Mexico
Father Jose Diaz 09/16/1965 Mexico
Step Parent N/A N/A N/A
Driver
No
Relative
No
Stranger
No
NOTES
Lives With
Mother
Name of School
Cary Reynolds
Grade
2nd.
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
K. Aleman
Data Entry
K. Aleman