Pancho - CAS-YON-95

Code: CAS-YON-95
Mercy ID: V-00164-22
Encounter Date: 04/05/2000
Last: Castillo
First: Yonic
DOB: 07/02/1995
County: Dekalb
Street: 1917 Meanville Dr
City: Chamblee
State: GA

Zip

30341-

Home

(770) 457-7130

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	Guadalupe Ramirez	09/30/1956	Mexico
Father	N/A	N/A	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother
Name of School: Ashford Park
Grade: Pre-K
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: D. Gomez