Pancho - REY-JOS-97

Code: REY-JOS-97
Mercy ID: V-00125-21
Encounter Date: 02/09/2000
Last: Reyes
First: Joseph
DOB: 01/06/1997
County: Dekalb
Street: 3630 Shallowford Rd #J-8
City: Doraville
State: GA

Zip

30340-

Home

(770) 936-3098

Family Status

Attached youth

COB

Mexico

Gender

Male Child

Housing

Not Homeless

Education Level

Child, not in school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Andrea Reyes	11/16/1973	Mexico
Father	Jose Reyes	12/12/1968	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
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: M. Ryan
Data Entry: D. Gomez