HER-MAN-94

Code
HER-MAN-94
Mercy ID
V-00329-21
Encounter Date
11/01/2000
Last
Herrera
First
Manuel
DOB
12/16/1993
County
Dekalb
Street
3204 H Chamblee Dunwoody Rd.
City
Atlanta
State
GA
Zip
00000-00
Home
(770) 451-6824
Family Status
Attached youth
COB
Mexico
Gender
Male Child
Housing
Doubling Up
Education Level
Grade school
Home Owner
YES

Parents Information

Name DOB COB
Mother Leticia Zuñiga 09/30/1968 Mexico
Father Benito Flores 03/21/1968 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
1st.
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
Y. Garcia
Data Entry
K. Aleman