Pancho - REY-ABE-75

Code: REY-ABE-75
Mercy ID: V-00738-02
Encounter Date: 11/04/2003
Last: Reyes
First: Abel
DOB: 04/29/1975
County: Dekalb
Street: 3697 Shallowford Rd.
City: Doraville
State: GA

Zip

30340-

Home

(770) 572-6147

Family Status

Two parent family w/children

COB

Mexico

Gender

Male

Housing

Doubling Up

Education Level

some high school

Home Owner

No

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