Pancho - ESC-ENR-87

Code: ESC-ENR-87
Mercy ID: V-00916-21
Encounter Date: 05/01/2002
Last: Escobar
First: Enrique
DOB: 01/24/1987
County: Gwinnett
Street: 5212 Derby Way
City: Norcross
State: GA

Zip

30093-

Home

(770) 931-1975

Family Status

Attached youth

COB

Mexico

Gender

Male Child

Housing

Doubling Up

Education Level

some high school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Berta Escobar	12/31/1951	Mexico
Father	Silvano Escobar	09/12/1960	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother
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: Y. Garcia
Data Entry: K. Aleman