Pancho - ALC-FER-64

Code: ALC-FER-64
Mercy ID: V-01092-02
Encounter Date: 04/29/1998
Last: Alcocer
First: Fernando
DOB: 02/23/1964
County: Dekalb
Street: 3610 Buford Hwy Apt. B3
City: Atlanta
State: GA

Zip

30329-

Home

(404) 728-9219

Family Status

Two parent family w/children

COB

Mexico

Gender

Male

Housing

Other

Education Level

Other

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: K. Aleman