Pancho - CON-MIG-95

Code: CON-MIG-95
Mercy ID: V-01239-21
Encounter Date: 07/15/2003
Last: Contreras
First: Miguel angel
DOB: 11/26/1995
County: Fulton
Street: 66 Northwood Dr. Apt. 134
City: Atlanta
State: GA

Zip

30342-

Home

(404) 531-9062

Family Status

Attached youth

COB

Mexico

Gender

Male Child

Housing

Not Homeless

Education Level

Grade school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Candelaria Contreras	06/08/1970	Mexico
Father	Sixto Contreras	12/08/1969	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
Name of School: High Point Elementary
Grade: 2nd.
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