MEJ-ERI-98

Code
MEJ-ERI-98
Mercy ID
V-01881-21
Encounter Date
05/04/2005
Last
Mejia
First
Erick
DOB
05/17/1998
County
Gwinnett
Street
1511 Concepts 21
City
Norcross
State
GA
Zip
30092-
Home
(770) 446-7618
Family Status
Attached youth
COB
Mexico
Gender
Male Child
Housing
Not Homeless
Education Level
Grade school
Home Owner
No

Parents Information

Name DOB COB
Mother Hilda Perez 05/11/1979 Mexico
Father Ernesto Mejia 11/11/1976 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
1st.
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
Volunteer
Data Entry
K. Aleman