Pancho - TIN-LUI-96

Code: TIN-LUI-96
Mercy ID: V-00683-21
Encounter Date: 09/19/2001
Last: Tinoco
First: Luis
DOB: 09/19/1996
County: Fulton
Street: 1918 Word Circle Circle #1
City: East point
State: GA

Zip

30344-

Home

(404) 766-7981

Family Status

Attached youth

COB

Mexico

Gender

Male Child

Housing

Not Homeless

Education Level

Preschool

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Margarita Valdez	08/25/1976	Mexico
Father	Hector Tinoco	09/09/1973	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
Name of School: N/A
Grade: Pre-K
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: K. Aleman
Data Entry: K. Aleman