SAN-MAN-84

Code
SAN-MAN-84
Mercy ID
V-00318-23
Encounter Date
10/27/2000
Last
Santana
First
Manuel
DOB
01/20/1984
County
Dekalb
Street
1458 northcliff valley way #c
City
Atlanta
State
GA
Zip
30319-
Home
(404) 320-2054
Family Status
Attached youth
COB
Mexico
Gender
Male Child
Housing
Not Homeless
Education Level
Child, not in school
Home Owner
No

Parents Information

Name DOB COB
Mother norma segura 01/04/1960 Mexico
Father pablo santana 07/07/1954 Mexico
Step Parent N/A N/A N/A
Driver
No
Relative
No
Stranger
No
NOTES
Lives With
Mother
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
K. Aleman
Data Entry
S. Aviña