GUZ-KEV-96

Code
GUZ-KEV-96
Mercy ID
V-03270-21
Encounter Date
08/16/2010
Last
Guzman
First
Kevin
DOB
12/10/1996
County
Fulton
Street
5555 Roswell Rd. A-4
City
Atlanta
State
GA
Zip
30342-
Cell
(678) 558-7287
Family Status
Child/Youth
COB
Mexico
Gender
Male Child
Housing
Doubling Up
Education Level
High school graduate
Home Owner
No

Parents Information

Name DOB COB
Mother Leticia Carmona 08/12/1978 Mexico
Father Severo Guzman 10/26/1978 Mexico
Step Parent N/A N/A N/A
Driver
No
Relative
No
Stranger
No
NOTES
Lives With
Mother
Name of School
Ridgeview Charter
Grade
8th.
Who Can't Pickup the Child
Severo Guzman - DAD

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
J. Manzo