LIM-HER-97

Code
LIM-HER-97
Mercy ID
V-00079-21
Encounter Date
04/26/2000
Last
Lima
First
Hervin
DOB
01/24/1997
County
Gwinnett
Street
1575 apt r hocom bridge rd
City
Norcross
State
GA
Zip
30092-
Home
(678) 291-9876
Family Status
Attached youth
COB
USA
Gender
Male Child
Housing
Doubling Up
Education Level
Child, not in school
Home Owner
No

Parents Information

Name DOB COB
Mother lorena diaz 12/04/1974 Guatemala
Father hervin lima 09/15/1972 Guatemala
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
F. Perez
Data Entry
S. Aviña