GAT-KEV-05

Code
GAT-KEV-05
Mercy ID
V-00247-22
Encounter Date
02/10/2010
Last
Gatica
First
Kevin
DOB
10/17/2005
County
Dekalb
Street
2127 Vinager Walk
City
Atlanta
State
GA
Zip
30316-
Cell
(404) 783-6469
Family Status
Child/Youth
COB
USA
Gender
Male Child
Housing
Single Family
Education Level
Preschool
Home Owner
YES

Parents Information

Name DOB COB
Mother Raquel Noyola 03/03/1974 Mexico
Father Elber Gatica 04/18/1975 Mexico
Step Parent N/A N/A N/A
Driver
No
Relative
No
Stranger
No
NOTES
Lives With
Parents
Name of School
Big Apple Acad.
Grade
Pre-K
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
J. Manzo
Data Entry
J. Manzo