Pancho - RAM-GAB-75

Code: RAM-GAB-75
Mercy ID: V-00282-02
Encounter Date: 09/11/2000
Last: Ramos
First: Gabriel
DOB: 01/31/1975
County: Fulton
Street: 3315 Roswell Rd Apt D-8
City: Atlanta
State: GA

Zip

30305-

Home

(404) 233-1760

Family Status

Two parent family w/children

COB

USA

Gender

Male

Housing

Not Homeless

Education Level

some high school

Home Owner

YES

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: R. Miranda
Data Entry: D. Gomez