Pancho - MOR-FER-98

Code: MOR-FER-98
Mercy ID: V-01110-21
Encounter Date: 02/12/2003
Last: Castillo
First: Fernando
DOB: 02/22/1998
County: Dekalb
Street: 2287 Plaster Rd. Apt 1
City: Atlanta
State: GA

Zip

30345-

Home

(404) 486-8242

Family Status

Attached youth

COB

Mexico

Gender

Male Child

Housing

Not Homeless

Education Level

Child, not in school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Yolanda Morales	01/08/1976	Mexico
Father	Fernando Castillo	N/A	N/A
Step Parent	Nicolas Vega	02/20/1969	Mexico

Driver: No
Relative: No
Stranger: No
Lives With: Mother w/Stepfather
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: Y. Garcia
Data Entry: K. Aleman