Pancho - DEL-FEL-79

Code: DEL-FEL-79
Mercy ID: V-03067-02
Encounter Date: 05/12/2009
Last: Del carmen
First: Felipe
DOB: 10/16/1979
County: Fulton
Street: 1202 Executive Dr.
City: Alpharetta
State: GA

Zip

30005-

Cell

(678) 900-4835

Family Status

Single adult

COB

Mexico

Gender

Male

Housing

Other

Education Level

some high 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: J. Manzo
Data Entry: J. Manzo