Pancho - AGU-ISA-74

Code: AGU-ISA-74
Mercy ID: V-00414-02
Encounter Date: 02/13/2001
Last: Aguilar
First: Isaias
DOB: 07/16/1974
County: Fulton
Street: 1284 roberts dr apt b
City: Atlanta
State: GA

Zip

30315-

Home

(678) 898-8492

Family Status

Two parent family w/children

COB

Mexico

Gender

Male

Housing

Doubling Up

Education Level

Preschool

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: F. Perez
Data Entry: S. Aviña