Pancho - BAR-RAU-74

Code: BAR-RAU-74
Mercy ID: V-01108-02
Encounter Date: 02/11/2003
Last: Barrientos
First: Raul alonzo
DOB: 11/16/1974
County: Fulton
Street: 317 Crest View Circle
City: Roswell
State: GA

Zip

30075-

Home

(678) 656-6353

Cell

(678) 867-0063

Family Status

Two parent family w/children

COB

Mexico

Gender

Male

Housing

Doubling Up

Education Level

some high school

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: R. Miranda
Data Entry: K. Aleman