COR-JOS-97

Code
COR-JOS-97
Mercy ID
V-01206-21
Encounter Date
10/08/2003
Last
Cordoba
First
Jose
DOB
01/03/1997
County
Dekalb
Street
6750 Peachtree Industrial Blvd. D6
City
Doraville
State
GA
Zip
30060-
Home
(770) 873-8860
Family Status
Attached youth
COB
Mexico
Gender
Male Child
Housing
Not Homeless
Education Level
Grade school
Home Owner
No

Parents Information

Name DOB COB
Mother Sandra Guillen 07/28/1967 Mexico
Father Jose Cordoba 04/25/1975 Mexico
Step Parent Manuel Sanchez N/A Mexico
Driver
No
Relative
No
Stranger
No
NOTES
Lives With
Mother
Name of School
High Tower Elementary
Grade
1st.
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