Pancho - ESC-ALO-75

Code: ESC-ALO-75
Mercy ID: V-02237-02
Encounter Date: 05/08/2006
Last: Escobar
First: Alonso
DOB: 05/31/1975
County: Dekalb
Street: 2206 Peachtree Industrial Blv
City: Doraville
State: GA

Zip

30360-

Cell

(678) 598-4967

Family Status

Single adult

COB

El Salvador

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: F. Perez
Data Entry: R. Gonzalez