BRA-ANT-01

Code
BRA-ANT-01
Mercy ID
V-01223-21
Encounter Date
06/04/2003
Last
Bravo
First
Anthony
DOB
09/06/2001
County
Dekalb
Street
4202 Buford Hwy C1
City
Atlanta
State
GA
Zip
30345-
Home
(404) 321-4857
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 Mary Helen Bravo 08/13/1975 USA
Father Guillermo Bravo 02/27/1978 Mexico
Step Parent N/A N/A N/A
Driver
No
Relative
No
Stranger
No
NOTES
Lives With
Mother
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