Pancho - PIN-OMA-92

Code: PIN-OMA-92
Mercy ID: V-00104-22
Encounter Date: 07/31/2002
Last: Pineda
First: Omar
DOB: 05/03/1992
County: Fulton
Street: 1800 Memorial Dr. Apt. J7
City: Atlanta
State: GA

Zip

30317-

Home

(404) 370-3753

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	Maria Alvares	03/06/1965	Mexico
Father	Carlos Pineda	07/02/1967	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
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