NER-KEN-05

Code
NER-KEN-05
Mercy ID
V-03265-11
Encounter Date
02/24/2010
Last
Neria
First
Kendra
DOB
12/01/2005
County
Fulton
Street
6558 Roswell Road Apt. K-10
City
Atlanta
State
GA
Zip
30328-
Cell
(678) 914-3704
Family Status
Child/Youth
COB
USA
Gender
Female Child
Housing
Doubling Up
Education Level
Child, not in school
Home Owner
YES

Parents Information

Name DOB COB
Mother Olga Edith Castañeda 01/12/1989 Mexico
Father Victor Hugo Neria 06/16/1982 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

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