Pancho - TRU-MAR-78

Code: TRU-MAR-78
Mercy ID: V-00069-02
Encounter Date: 02/02/2000
Last: Trujano
First: Marco
DOB: 12/30/1978
County: Dekalb
Street: 2764 twin brook rd apt 4
City: Atlanta
State: GA

Zip

30319-

Home

(770) 931-2204

Family Status

Two parent family w/children

COB

Mexico

Gender

Male

Housing

Not Homeless

Education Level

some high school

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: F. Perez
Data Entry: S. Aviña