Pancho - MOR-ALE-90

Code: MOR-ALE-90
Mercy ID: V-00712-21
Encounter Date: 10/10/2001
Last: Moreno
First: Alejandro
DOB: 10/01/1990
County: Gwinnett
Street: 6740 Graves Mill
City: Norcross
State: GA

Zip

30093-

Home

(678) 406-0319

Family Status

Attached youth

COB

Mexico

Gender

Male Child

Housing

Doubling Up

Education Level

Grade school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Maribel Moreno	09/18/1964	Mexico
Father	Fortino Moreno	08/12/1961	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother
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: K. Aleman