Pancho - CAM-OMA-95

Code: CAM-OMA-95
Mercy ID: V-00067-21
Encounter Date: 02/09/2000
Last: Campos
First: Omar
DOB: 07/06/1995
County: Dekalb
Street: 3061 Oakcliff Rd. apt.22
City: Doraville
State: GA

Zip

30340-

Home

(770) 457-6994

Family Status

Attached youth

COB

Guatemala

Gender

Male Child

Housing

Not Homeless

Education Level

Preschool

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Dora Mancilla	12/01/1964	Guatemala
Father	Herberth Campos	09/10/1965	Guatemala
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
Name of School: Oakcliff Elem
Grade: Pre-K
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: Y. Garcia