Pancho - ARI-NEL-72

Code: ARI-NEL-72
Mercy ID: V-00592-02
Encounter Date: 07/07/2001
Last: Arriaga
First: Nelson antonio
DOB: 05/10/1972
County: Dekalb
Street: 3554 Shallowford
City: Chamblee
State: GA

Zip

30341-

Home

(770) 457-2889

Cell

(404) 320-6217

Family Status

Two parent family w/children

COB

El Salvador

Gender

Male

Housing

Doubling Up

Education Level

Preschool

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: K. Aleman