Pancho - CAM-FEL-74

Code: CAM-FEL-74
Mercy ID: V-01994-02
Encounter Date: 08/16/2005
Last: Romani camacho
First: Felix
DOB: 03/06/1974
County: Dekalb
Street: 4229 Steve Reynolds Blvd. #140
City: Norcross
State: GA

Zip

30093-

Home

(678) 768-0778

Family Status

Adult coupie-no children

COB

Mexico

Gender

Male

Housing

Doubling Up

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: R. Miranda
Data Entry: R. Miranda