Pancho - ALC-FER-90

Code: ALC-FER-90
Mercy ID: V-01092-24
Encounter Date: 04/14/1990
Last: Alcocer
First: Fernando
DOB: 04/14/1990
County: Dekalb
Street: 3610 Buford Hwy apt B-3
City: Atlanta
State: GA

Zip

30329-

Home

(404) 321-3779

Family Status

Attached youth

COB

Mexico

Gender

Male Child

Housing

Not Homeless

Education Level

Grade school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Lourdes Espinoza	07/06/1968	Mexico
Father	Fernando Alcocer	02/23/1964	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
Name of School: Montclair
Grade: 3rd.
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: J. Manzo
Data Entry: K. Aleman