Pancho - PAR-DAV-92

Code: PAR-DAV-92
Mercy ID: V-00225-22
Encounter Date: 02/20/2002
Last: Parra
First: David
DOB: 07/12/1992
County: Dekalb
Street: 4434 Abingdon Dr.
City: Stone mountain
State: GA

Zip

30083-

Home

(404) 299-8767

Family Status

Attached youth

COB

Mexico

Gender

Male Child

Housing

Not Homeless

Education Level

Grade school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	N/A	N/A	Mexico
Father	N/A	N/A	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother
Name of School: St. Timothy School
Grade: 4th.
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: Y. Garcia
Data Entry: K. Aleman