NAV-GUI-98

Code
NAV-GUI-98
Mercy ID
V-00075-21
Encounter Date
10/27/1999
Last
Nava
First
Guillermo
DOB
04/13/1998
County
Fulton
Street
1780 Metropolitan Pwy. C-234
City
Atlanta
State
GA
Zip
30315-
Home
(404) 767-3693
Family Status
Attached youth
COB
Mexico
Gender
Male Child
Housing
Not Homeless
Education Level
Child, not in school
Home Owner
No

Parents Information

Name DOB COB
Mother Azucena Perdomo 03/02/1975 Mexico
Father Guillermo Nava 06/25/1970 Mexico
Step Parent N/A N/A N/A
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
J. Perez
Data Entry
Y. Garcia