Pancho - MEN-ORL-70

Code: MEN-ORL-70
Mercy ID: V-00033-02
Encounter Date: 02/02/2000
Last: Mendez
First: Orlando
DOB: 05/08/1970
County: Dekalb
Street: 2744 Archway Dr. Apt-A
City: Chamblee
State: GA

Zip

30341-

Home

(770) 620-4339

Family Status

Adult coupie-no children

COB

Honduras

Gender

Male

Housing

Doubling Up

Education Level

High school graduate

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: F. Perez
Data Entry: D. Gomez