SAL-MAR-94
- Code
- SAL-MAR-94
- Mercy ID
- V-02014-13
- Encounter Date
- 04/23/2007
- Last
- Salazar
- First
- Maria
- DOB
- 11/01/1994
- County
- Dekalb
- Street
- 2953 North Dekalb Dr. #202
- City
- Doraville
- State
- GA
Parents Information
| Name | DOB | COB | |
|---|---|---|---|
| Mother | Blanca Flores | 08/14/1972 | Mexico |
| Father | Selvin Flores | 01/31/1980 | Mexico |
| Step Parent | N/A | N/A | N/A |
- Driver
- No
- Relative
- No
- Stranger
- No
- Lives With
- Parents
- Name of School
- Sequoyah Middle
- Grade
- 8th.
- Who Can't Pickup the Child
- Authoritation Parent
- No
- Authoritation Child
- No
- DOY PERMISO
- No
- Limitado Educativo
- No
- Limitado Impresos
- No
- Limitado Caminar Latino
- No
NOTES
Media
NO DOY PERMISO
- Intake
- G. Landeros
- Data Entry
- J. Manzo