Pancho - PAL-PED-77

Code: PAL-PED-77
Mercy ID: V-00139-02
Encounter Date: 03/14/2000
Last: Palma
First: Pedro luis
DOB: 05/31/1977
County: Dekalb
Street: 3207 buford hwy apt- h
City: Atlanta
State: GA

Zip

30329-

Home

(404) 315-4805

Family Status

Adult coupie-no children

COB

Mexico

Gender

Male

Housing

Doubling Up

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: R. Miranda
Data Entry: S. Aviña