Pancho - HER-DAN-98

Code: HER-DAN-98
Mercy ID: V-01000-22
Encounter Date: 08/28/2002
Last: Hernandez
First: Daniel
DOB: 05/17/1998
County: Fulton
Street: 201 Northwood Rd. Apt. L2
City: Atlanta
State: GA

Zip

30342-

Home

(404) 459-4241

Family Status

Attached youth

COB

Mexico

Gender

Male Child

Housing

Not Homeless

Education Level

Preschool

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Rocio Nava	12/19/1970	Mexico
Father	Adan Hernandez	06/20/1970	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
Name of School: High fair Elementary
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: Y. Garcia
Data Entry: K. Aleman