Pancho - VAL-NIC-96

Code: VAL-NIC-96
Mercy ID: V-00885-21
Encounter Date: 04/03/2002
Last: Valencia
First: Nicolas
DOB: 07/30/1996
County: Fulton
Street: not given
City: Not given
State: GA

Zip

00000-00

Home

(000) 000-0000

Family Status

Attached youth

COB

Colombia

Gender

Male Child

Housing

Not Homeless

Education Level

Grade school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Soraya	09/29/1972	Colombia
Father	Jesus Valencia	09/19/1965	Colombia
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
Name of School: Manning Oaks Elementary
Grade: Kinder
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: Y. Garcia
Data Entry: K. Aleman