Pancho - ELI-MAR-91

Code: ELI-MAR-91
Mercy ID: V-00675-22
Encounter Date: 09/12/2001
Last: Elias
First: Marco
DOB: 06/09/1991
County: Dekalb
Street: 2773 Shallowford Rd. Apt. C
City: Chamblee
State: GA

Zip

30341-

Home

(770) 216-9473

Family Status

Attached youth

COB

El Salvador

Gender

Male Child

Housing

Not Homeless

Education Level

some high school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Pascuala Martinez	05/17/1966	El Salvador
Father	Marco A. Elias	N/A	El Salvador
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother
Name of School: Dresden
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: K. Aleman
Data Entry: K. Aleman