MIL-JOS-07

Code
MIL-JOS-07
Mercy ID
V-02756-22
Encounter Date
07/02/2008
Last
Millan
First
Joshuan
DOB
01/02/2007
County
Fulton
Street
2205 Sandalwood Dr. Apt. 2205
City
Atlanta
State
GA
Zip
30350-
Cell
(770) 572-1764
Family Status
Child/Youth
COB
USA
Gender
Male Child
Housing
Doubling Up
Education Level
Child, not in school
Home Owner
No

Parents Information

Name DOB COB
Mother Korina Alonzo 08/08/1984 Mexico
Father Alfredo Millan 01/11/1983 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
C. Martinez
Data Entry
J. Manzo