SIM-MAR-98

Code
SIM-MAR-98
Mercy ID
V-00440-12
Encounter Date
05/23/2001
Last
Simon
First
Mariland
DOB
07/21/1998
County
Dekalb
Street
6750 peachtree ind blv apt 2006
City
Doraville
State
GA
Zip
30360-
Home
(770) 446-6994
Family Status
Attached youth
COB
USA
Gender
Female Child
Housing
Doubling Up
Education Level
Child, not in school
Home Owner
YES

Parents Information

Name DOB COB
Mother maribel rogriguez 05/18/1975 Mexico
Father jose simon 07/18/1970 Mexico
Step Parent N/A N/A N/A
Driver
No
Relative
No
Stranger
No
NOTES
Lives With
Parents
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