RES-EDA-93
- Code
- RES-EDA-93
- Mercy ID
- V-02670-12
- Encounter Date
- 11/21/2007
- Last
- Resendiz
- First
- Edna
- DOB
- 12/22/1993
- County
- Dekalb
- Street
- 413 Hentrice Walk
- City
- Chamblee
- State
- GA
Parents Information
| Name | DOB | COB | |
|---|---|---|---|
| Mother | Faustina Perez | 09/06/1961 | Mexico |
| Father | Pedro Perez | 05/19/1964 | Mexico |
| Step Parent | N/A | N/A | N/A |
- Driver
- No
- Relative
- No
- Stranger
- No
- Lives With
- Mother
- Name of School
- Chamblee 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
- C. Martinez
- Data Entry
- J. Manzo