LEE-ANG-00

Code
LEE-ANG-00
Mercy ID
V-01523-11
Encounter Date
03/17/2004
Last
Lee
First
Angie
DOB
10/06/2000
County
Dekalb
Street
3128 Briarcliff Rd. Apt A
City
Atlanta
State
GA
Zip
30329-
Home
(404) 728-1112
Family Status
Attached youth
COB
Mexico
Gender
Female Child
Housing
Doubling Up
Education Level
Child, not in school
Home Owner
No

Parents Information

Name DOB COB
Mother Angelica Montante 11/07/1981 Mexico
Father Jose Dolores Montante 03/24/1962 Mexico
Step Parent Luis Lee Rodriguez 04/17/1963 Mexico
Driver
No
Relative
No
Stranger
No
NOTES
Lives With
Parents
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