COR-SER-96

Code
COR-SER-96
Mercy ID
V-00416-22
Encounter Date
03/07/2001
Last
Correa
First
Sergio
DOB
09/12/1996
County
Fulton
Street
819 Tahoe Run Apt. J
City
Roswell
State
GA
Zip
30076-
Home
(770) 640-4678
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 Juana Garcia 03/19/1967 Mexico
Father Martin Correa N/A Mexico
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
K. Aleman
Data Entry
K. Aleman