TAP-HOR-82

Code
TAP-HOR-82
Mercy ID
V-03507-02
Encounter Date
02/07/2011
Last
Tapia
First
Horacio
DOB
06/20/1982
County
Fulton
Street
974 Oglethorpe Ave.
City
Atlanta
State
GA
Zip
30310-
Cell
(770) 255-9585
Family Status
Two parent family w/children
COB
Mexico
Gender
Male
Housing
Single Family
Education Level
some high 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
No
Limitado Educativo
No
Limitado Impresos
No
Limitado Caminar Latino
No
Intake
J. Manzo
Data Entry
J. Manzo