ABA-ERI-91

Code
ABA-ERI-91
Mercy ID
B-00035-11
Encounter Date
10/01/1997
Last
Mendez
First
Sabina
DOB
07/17/1991
County
Other
Street
750 Six Flags Rd. Lot 446 the Village
City
Austell
State
GA
Zip
30001-
Home
(770) 948-8867
Family Status
Child/Youth
COB
Mexico
Gender
Female Child
Housing
Other
Education Level
Other
Home Owner
No

Parents Information

Name DOB COB
Mother Maria G. Abarca 06/12/1969 Mexico
Father N/A N/A Mexico
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
R. Miranda