Pancho - GRE-NEH-78

Code: GRE-NEH-78
Mercy ID: V-02201-02
Encounter Date: 03/20/2006
Last: Gregorio
First: Nehemias de jesus
DOB: 02/10/1978
County: Dekalb
Street: 3630 Shallowford Rd
City: Doraville
State: GA

Zip

30340-

Cell

(770) 527-3868

Family Status

Adult coupie-no children

COB

Guatemala

Gender

Male

Housing

Other

Education Level

Grade school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	N/A	N/A	N/A
Father	N/A	N/A	N/A
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: N/A
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: F. Perez
Data Entry: R. Gonzalez