Pancho - ALE-JUA-72

Code: ALE-JUA-72
Mercy ID: V-03512-02
Encounter Date: 01/18/2011
Last: Aleman
First: Juan
DOB: 03/06/1972
County: Fulton
Street: 3136 Martin Luther King Dr. SW B-1
City: Atlanta
State: GA

Zip

30311-

Home

(404) 696-2942

Family Status

Single adult

COB

El Salvador

Gender

Male

Housing

Doubling Up

Education Level

Grade 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