VAL-ALE-01

Code
VAL-ALE-01
Mercy ID
V-00203-23
Encounter Date
02/11/2003
Last
Valencia
First
Alexis
DOB
03/05/2001
County
Dekalb
Street
3516 Buford Hwy #8
City
Atlanta
State
GA
Zip
30329-
Home
(404) 982-0966
Family Status
Attached youth
COB
Mexico
Gender
Male Child
Housing
Doubling Up
Education Level
Child, not in school
Home Owner
No

Parents Information

Name DOB COB
Mother Irma Valencia 12/23/1967 Mexico
Father N/A N/A Mexico
Step Parent N/A N/A N/A
Driver
No
Relative
No
Stranger
No
NOTES
Lives With
Mother
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
K. Aleman
Data Entry
K. Aleman