Pancho - ALC-ENR-02

Code: ALC-ENR-02
Mercy ID: V-00504-21
Encounter Date: 09/11/2002
Last: Alcantar
First: Enrique
DOB: 03/19/2002
County: Cobb
Street: 3538-12 Buford Hwy
City: Atlanta
State: GA

Zip

30329-

Home

(404) 325-4837

Family Status

Attached youth

COB

Mexico

Gender

Male Child

Housing

Doubling Up

Education Level

Child, not in school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Selene Garcia	04/11/1982	Mexico
Father	Enrique Alcanta	09/10/1977	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
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: Y. Garcia
Data Entry: Y. Garcia