Pancho - ORD-PED-73

Code: ORD-PED-73
Mercy ID: V-00176-02
Encounter Date: 04/18/2000
Last: Ordaz
First: Pedro
DOB: 01/25/1973
County: Cobb
Street: 525 Wood Song Trail Apt-301
City: Smyrna
State: GA

Zip

30082-

Home

(770) 438-8101

Family Status

Two parent family w/children

COB

Mexico

Gender

Male

Housing

Not Homeless

Education Level

Vocational/Technical

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: K. Aleman
Data Entry: D. Gomez