LET-EDG-91

Code
LET-EDG-91
Mercy ID
O-00001-02
Encounter Date
06/25/2003
Last
Lep
First
Edgar
DOB
10/18/1991
County
Gwinnett
Street
1475 Danbury Dr.
City
Norcross
State
GA
Zip
30093-
Cell
(678) 438-7985
Family Status
Single adult
COB
USA
Gender
Male
Housing
Single Family
Education Level
some high school
Home Owner
YES

Parents Information

Name DOB COB
Mother Sonia Xicara 12/24/1966 Guatemala
Father Edgar Lep 05/08/1972 Guatemala
Step Parent N/A N/A N/A
Driver
No
Relative
No
Stranger
No
NOTES
Lives With
Mother
Name of School
N/A
Grade
9th.
Who Can't Pickup the Child
Edgar Rene Lep - Father

Media

NO DOY PERMISO
Authoritation Parent
No
Authoritation Child
No
DOY PERMISO
No
Limitado Educativo
No
Limitado Impresos
No
Limitado Caminar Latino
No
Intake
Y. Garcia
Data Entry
K. Aleman