Pancho - RIV-JHO-86

Code: RIV-JHO-86
Mercy ID: V-00180-21
Encounter Date: 07/11/2001
Last: Rivero
First: Jhonathan
DOB: 02/07/1986
County: Gwinnett
Street: 3402 Fox St.
City: Duluth
State: GA

Zip

30096-

Home

(678) 417-0106

Family Status

Attached youth

COB

Mexico

Gender

Male Child

Housing

Not Homeless

Education Level

some high school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Roxana Gomez	03/05/1962	Perú
Father	N/A	N/A	Mexico
Step Parent	Frank Gomez	12/18/1965	EEUU

Driver: No
Relative: No
Stranger: No
Lives With: Mother
Name of School: N/A
Grade: N/A
Who Can't Pickup the Child: Frank Gomez
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