Pancho - RAM-ERN-70

Code: RAM-ERN-70
Mercy ID: V-00011-02
Encounter Date: 02/08/2000
Last: Ramirez
First: Ernesto
DOB: 03/06/1970
County: Gwinnett
Street: 1312 Stoney Brook Dr
City: Tucker
State: GA

Zip

30084-

Home

(678) 406-0107

Family Status

Two parent family w/children

COB

Mexico

Gender

Male

Housing

Not Homeless

Education Level

High school graduate

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	N/A	N/A	N/A
Father	N/A	N/A	N/A
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: N/A
Name of School: N/A
Grade: N/A
Who Can't Pickup the Child
Authoritation Parent: No
Authoritation Child: No
DOY PERMISO: No
Limitado Educativo: No
Limitado Impresos: No
Limitado Caminar Latino: No

Intake: R. Miranda
Data Entry: D. Gomez