Pancho - ESP-EMI-93

Code: ESP-EMI-93
Mercy ID: B-00034-23
Encounter Date: 07/29/1998
Last: Espinoza
First: Emilio
DOB: 01/11/1993
County: Other
Street: 3129 Vialley Via St.
City: Powder springs
State: GA

Zip

30127-

Home

(404) 298-9110

Family Status

Attached youth

COB

Mexico

Gender

Male Child

Housing

Shelter

Education Level

Other

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Argelai Adame	N/A	Mexico
Father	N/A	N/A	Mexico
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: J. Perez
Data Entry: R. Miranda