ISI-FEL-64

Code
ISI-FEL-64
Mercy ID
V-00064-02
Encounter Date
02/02/2000
Last
Isidor
First
Felipe
DOB
05/26/1964
County
Fulton
Street
2472 Adina Dr. Apt. 7
City
Atlanta
State
GA
Zip
30324-
Home
(404) 364-9848
Family Status
Two parent family w/children
COB
Mexico
Gender
Male
Housing
Doubling Up
Education Level
Post Grad Degree
Home Owner
No

Parents Information

Name DOB COB
Mother N/A N/A N/A
Father N/A N/A N/A
Step Parent N/A N/A N/A
Driver
No
Relative
No
Stranger
No
NOTES
Lives With
N/A
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
F. Perez
Data Entry
Y. Garcia