Pancho - LOP-ABE-93

Code: LOP-ABE-93
Mercy ID: V-00917-23
Encounter Date: 04/24/2002
Last: Lopez
First: Abel
DOB: 10/12/1993
County: Fulton
Street: 2960 Sandy Circle
City: Riverdale
State: GA

Zip

30296-

Home

(770) 909-8193

Family Status

Attached youth

COB

Mexico

Gender

Male Child

Housing

Not Homeless

Education Level

Other

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Lorena Lopez	12/29/1968	Mexico
Father	N/A	N/A	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: K. Aleman
Data Entry: K. Aleman