Pancho - AND-LUI-90

Code: AND-LUI-90
Mercy ID: V-00387-22
Encounter Date: 01/17/2001
Last: Andrade
First: Luis
DOB: 01/16/1990
County: Dekalb
Street: 2825 Express Way #2
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	Elka Andrade	07/10/1965	Perú
Father	Luis Andrade	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 Elementary
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: K. Aleman
Data Entry: K. Aleman