PAC-MAR-67

Code
PAC-MAR-67
Mercy ID
V-00047-02
Encounter Date
01/11/2000
Last
Pacheco
First
Mario
DOB
05/28/1967
County
Fulton
Street
300 Carpenter Dr N.E # A-21
City
Atlanta
State
GA
Zip
30328-
Home
(404) 256-5038
Family Status
Two parent family w/children
COB
Mexico
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
NOTES
Lives With
N/A
Name of School
N/A
Grade
N/A
Who Can't Pickup the Child

Media

NO DOY PERMISO
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