LAB-JOS-99

Code
LAB-JOS-99
Mercy ID
V-00058-21
Encounter Date
01/14/2004
Last
Laboy
First
Jose
DOB
11/05/1999
County
Dekalb
Street
4096 Phil Niekro Parkway
City
Norcross
State
GA
Zip
30093-
Home
(678) 437-0614
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 Carlota Hernandez 07/17/1973 Mexico
Father Jose Luis Laboy 11/24/1969 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