Pancho - PAL-FEL-01

Code: PAL-FEL-01
Mercy ID: V-01708-22
Encounter Date: 12/01/2004
Last: Palazuelos
First: Felix
DOB: 11/29/2001
County: Cobb
Street: 540 Mobile Lane SW
City: Marietta
State: GA

Zip

30008-

Home

(678) 471-5234

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	Guadalupe Avellaneda	05/06/1965	Mexico
Father	Luis Palazuelos	N/A	Mexico
Step Parent	Arcadio Calles	10/06/1976	N/A

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: K. Aleman
Data Entry: K. Aleman