Pancho - REY-ERI-84

Code: REY-ERI-84
Mercy ID: V-03310-02
Encounter Date: 04/27/2010
Last: Reyes
First: Erick
DOB: 07/06/1984
County: Dekalb
Street: 1313 Brook Court
City: Doraville
State: GA

Zip

30340-

Cell

(678) 949-0850

Family Status

Two parent family w/children

COB

Guatemala

Gender

Male

Housing

Single Family

Education Level

High school graduate

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: YES
Limitado Educativo: No
Limitado Impresos: No
Limitado Caminar Latino: No

Intake: J. Manzo
Data Entry: J. Manzo