ENR-JAV-82

Code
ENR-JAV-82
Mercy ID
V-03254-02
Encounter Date
02/09/2010
Last
Enriquez
First
Javier
DOB
08/06/1982
County
Dekalb
Street
2095 Burton Plaza Ln. Apt. K-10
City
Atlanta
State
GA
Zip
30319-
Cell
(678) 754-6324
Family Status
Single adult
COB
Mexico
Gender
Male
Housing
Doubling Up
Education Level
Grade school
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
YES
Limitado Educativo
No
Limitado Impresos
No
Limitado Caminar Latino
No
Intake
J. Manzo
Data Entry
J. Manzo