Pancho - CAS-FRA-79

Code: CAS-FRA-79
Mercy ID: V-00543-02
Encounter Date: 06/19/2001
Last: Castrillo
First: Franklin
DOB: 08/17/1979
County: Cobb
Street: 415 Cindy Dr.
City: Marietta
State: GA

Zip

30008-

Home

(678) 460-7966

Family Status

Adult coupie-no children

COB

Nicaragua

Gender

Male

Housing

Doubling Up

Education Level

High school graduate

Home Owner

YES

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: R. Miranda
Data Entry: K. Aleman