FIE-ALE-72

Code
FIE-ALE-72
Mercy ID
V-01501-02
Encounter Date
02/24/2004
Last
Fierro
First
Alejandro
DOB
03/28/1972
County
Fulton
Street
24 Cedar Run Apt A
City
Atlanta
State
GA
Zip
30350-
Home
(770) 998-9197
Family Status
Two parent family w/children
COB
Mexico
Gender
Male
Housing
Doubling Up
Education Level
some high school
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
R. Miranda
Data Entry
K. Aleman