CAS-LUI-69

Code
CAS-LUI-69
Mercy ID
V-02555-02
Encounter Date
08/07/2007
Last
Castillo
First
Luis
DOB
01/04/1969
County
Cobb
Street
2950 South Cobb Dr. Apt. 1803
City
Smyrna
State
GA
Zip
30080-
Cell
(678) 531-5461
Family Status
Two parent family w/children
COB
Mexico
Gender
Male
Housing
Not Homeless
Education Level
Post Grad Degree
Home Owner
YES

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