Pancho - AND-FAB-93

Code: AND-FAB-93
Mercy ID: V-00387-21
Encounter Date: 01/17/2001
Last: Andrade
First: Fabrico
DOB: 11/16/1993
County: Dekalb
Street: 2825 express way
City: Atlanta
State: GA

Zip

30345-

Home

(404) 636-5907

Family Status

Attached youth

COB

Perú

Gender

Male Child

Housing

Doubling Up

Education Level

Grade school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	quiroga elka	07/10/1965	Perú
Father	andrade luis	11/21/1964	Perú
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother
Name of School: hunter elem
Grade: 1st.
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: K. Aleman
Data Entry: D. Gomez