Pancho - VAR-ZEN-75

Code: VAR-ZEN-75
Mercy ID: V-00653-02
Encounter Date: 08/21/2001
Last: Vargas
First: Zenon
DOB: 04/12/1975
County: Dekalb
Street: 2277 Plaster Rd. Apt. 9
City: Atlanta
State: GA

Zip

30345-

Home

(404) 929-9245

Family Status

Adult coupie-no children

COB

Mexico

Gender

Male

Housing

Doubling Up

Education Level

Preschool

Home Owner

No

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