FAC-YAH-07

Code
FAC-YAH-07
Mercy ID
V-01615-11
Encounter Date
09/05/2007
Last
Facio
First
Yahir
DOB
08/19/2007
County
Dekalb
Street
4404 Glenwood Parkway
City
Decatur
State
GA
Zip
30032-
Home
(404) 286-2493
Family Status
Unknow/Unreported
COB
USA
Gender
Male Child
Education Level
Child, not in school
Home Owner
No

Parents Information

Name DOB COB
Mother Maria del Pilar Soto N/A Mexico
Father N/A N/A Mexico
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
C. Martinez
Data Entry
Volunteer