MIR-EST-76

Code
MIR-EST-76
Mercy ID
V-02584-02
Encounter Date
09/11/2007
Last
Miralrio
First
Esteban
DOB
08/04/1976
County
Fulton
Street
5320 Roswell Rd. N.E. Apt. O-1
City
Atlanta
State
GA
Zip
30342-
Cell
(404) 453-2421
Family Status
Two parent family w/children
COB
Mexico
Gender
Male
Housing
Not Homeless
Education Level
High school graduate
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
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