PAR-DAV-01

Code
PAR-DAV-01
Mercy ID
V-03287-21
Encounter Date
10/13/2010
Last
Parra
First
David
DOB
08/24/2001
County
Gwinnett
Street
2212 Wey ford Dr. Apt. C
City
Norcross
State
GA
Zip
30071-
Cell
(678) 698-5231
Family Status
Child/Youth
COB
USA
Gender
Male Child
Housing
Doubling Up
Education Level
Grade school
Home Owner
No

Parents Information

Name DOB COB
Mother Rita Huaca 09/05/1964 Ecuador
Father Alberto Parra N/A Cuba
Step Parent N/A N/A N/A
Driver
No
Relative
No
Stranger
No
NOTES
Lives With
N/A
Name of School
Norcross elem.
Grade
3rd.
Who Can't Pickup the Child

Media

DOY PERMISO
Authoritation Parent
YES
Authoritation Child
No
DOY PERMISO
No
Limitado Educativo
No
Limitado Impresos
No
Limitado Caminar Latino
No
Intake
Volunteer
Data Entry
J. Manzo