BUI-LIZ-02

Code
BUI-LIZ-02
Mercy ID
V-01374-11
Encounter Date
10/08/2003
Last
Buitron
First
Lizbeth
DOB
08/14/2002
County
Fulton
Street
3315 Roswell Rd. #15
City
Atlanta
State
GA
Zip
30305-
Home
(678) 754-8180
Family Status
Attached youth
COB
Mexico
Gender
Female Child
Housing
Not Homeless
Education Level
Child, not in school
Home Owner
YES

Parents Information

Name DOB COB
Mother Alicia Buitron 05/23/1974 Mexico
Father Belen Santana 02/18/1973 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