Pancho - MOR-CRI-86

Code: MOR-CRI-86
Mercy ID: V-00070-23
Encounter Date: 02/09/2000
Last: Moreno
First: Cristian
DOB: 11/19/1986
County: Gwinnett
Street: 41774 Janet Cir.
City: Norcross
State: GA

Zip

30093-

Home

(770) 935-7812

Family Status

Attached youth

COB

Mexico

Gender

Male Child

Housing

Not Homeless

Education Level

Grade school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Gloria Moreno	05/10/1965	Mexico
Father	Jesus Hernandez	N/A	Mexico
Step Parent	Jorge Luviano	07/27/1971	Mexico

Driver: No
Relative: No
Stranger: No
Lives With: Mother w/Stepfather
Name of School: N/A
Grade: 6th.
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