Pancho - ABA-GUS-94

Code: ABA-GUS-94
Mercy ID: B-00035-21
Encounter Date: 10/01/1997
Last: Camacho
First: Felix
DOB: 07/19/1994
County: Other
Street: 750 Six Flags Rd. Lot 446 The Village
City: Austell
State: GA

Zip

30001-

Home

(770) 948-8867

Family Status

Child/Youth

COB

Mexico

Gender

Male Child

Housing

Other

Education Level

Other

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Maria G. Abarca	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. Manzo
Data Entry: K. Aleman