CIS-ANA-88

Code
CIS-ANA-88
Mercy ID
V-00212-11
Encounter Date
05/17/2000
Last
Cisneros
First
Anahy
DOB
07/12/1988
County
Dekalb
Street
6698 Peachtree Industrial Blv. #98-G
City
Doraville
State
GA
Zip
30360-
Home
(678) 966-0844
Family Status
Attached youth
COB
Mexico
Gender
Female Child
Housing
Doubling Up
Education Level
Grade school
Home Owner
No

Parents Information

Name DOB COB
Mother Maria del Carmen Acocal 06/01/1966 Mexico
Father Bacilio Cisneros 01/14/1966 Mexico
Step Parent N/A N/A N/A
Driver
No
Relative
No
Stranger
No
NOTES
Lives With
Mother
Name of School
Peachtree
Grade
6th.
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
K. Aleman