Pancho - ROD-GAB-99

Code: ROD-GAB-99
Mercy ID: V-00403-22
Encounter Date: 02/07/2001
Last: Rodriguez
First: Gabriel
DOB: 12/10/1999
County: Cobb
Street: 87 Gunter St. Apt. #3
City: Marietta
State: GA

Zip

30060-

Home

(770) 794-6681

Family Status

Attached youth

COB

USA

Gender

Male Child

Housing

Not Homeless

Education Level

Child, not in school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Melissa Flores	04/19/1968	Mexico
Father	N/A	N/A	Mexico
Step Parent	Gerardo Flores	11/02/1980	Mexico

Driver: No
Relative: No
Stranger: No
Lives With: Mother w/Stepfather
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: K. Aleman
Data Entry: K. Aleman