Pancho - CAS-GRE-76

Code: CAS-GRE-76
Mercy ID: V-03043-02
Encounter Date: 04/14/2009
Last: Castro
First: Gregorio
DOB: 12/10/1976
County: Dekalb
Street: 908 Murphy Ave.
City: Atlanta
State: GA

Zip

30310-

Home

(404) 423-0441

Cell

(404) 808-8380

Family Status

Single adult

COB

USA

Gender

Male

Housing

Other

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: J. Manzo
Data Entry: J. Manzo