LEO-CAM-03

Code
LEO-CAM-03
Mercy ID
V-02243-21
Encounter Date
05/17/2006
Last
Leon
First
Camilo
DOB
11/12/2003
County
Dekalb
Street
3078 Clairmont Rd #221
City
Atlanta
State
GA
Zip
30329-
Home
(404) 325-9322
Cell
(404) 324-1293
Family Status
Attached youth
COB
USA
Gender
Male Child
Housing
Not Homeless
Education Level
Child, not in school
Home Owner
No

Parents Information

Name DOB COB
Mother Alba Barrera 11/16/1970 Colombia
Father Jorge Leon 05/30/1967 Mexico
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
R. Gonzalez
Data Entry
R. Gonzalez