Pancho - HER-CHR-96

Code: HER-CHR-96
Mercy ID: V-00013-22
Encounter Date: 01/05/2000
Last: Hernandez
First: Christian
DOB: 01/23/1996
County: Dekalb
Street: 3297 hood ave
City: Chamblee
State: GA

Zip

30341-

Home

(770) 936-2396

Family Status

Attached youth

COB

USA

Gender

Male Child

Housing

Not Homeless

Education Level

Child, not in school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	sonia cruz	08/07/1978	USA
Father	nelson hernandez	03/07/1970	Guatemala
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: N/A
Name of School: na
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: D. Gomez