ESP-ISI-84

Code
ESP-ISI-84
Mercy ID
V-01727-02
Encounter Date
12/09/2006
Last
Espinoza
First
Isidro
DOB
01/06/1984
County
Dekalb
Street
2404 Johnson Rd. Apt. E
City
Atlanta
State
GA
Zip
30345-
Home
(404) 634-2516
Cell
(678) 754-1403
Family Status
Adult coupie-no children
COB
Mexico
Gender
Male
Housing
Doubling Up
Education Level
Grade 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
J. Manzo
Data Entry
J. Manzo