CAR-MAR-63

Code
CAR-MAR-63
Mercy ID
V-02406-02
Encounter Date
01/30/2007
Last
Carrillo
First
Martin
DOB
01/30/1963
County
Dekalb
Street
3096 Buford Hwy Apt. F
City
Atlanta
State
GA
Zip
30329-
Cell
(404) 957-3409
Family Status
Single adult
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
DFCS Case Worker Nikke Coleman (404) 370-5047
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