Pancho - BAL-RON-61

Code: BAL-RON-61
Mercy ID: V-00605-02
Encounter Date: 07/03/2001
Last: Balladares
First: Ronald
DOB: 08/21/1961
County: Fulton
Street: 6985 Roswell Rd. Apt. G
City: Atlanta
State: GA

Zip

30328-

Home

(770) 761-9481

Cell

(404) 237-1800

Family Status

Adult coupie-no children

COB

Nicaragua

Gender

Male

Housing

Doubling Up

Education Level

College Degree

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