Pancho - REY-MIG-51

Code: REY-MIG-51
Mercy ID: V-00428-02
Encounter Date: 02/27/2001
Last: Reyna
First: Miguel
DOB: 06/13/1951
County: Cobb
Street: 3761 laurelgreen way
City: Acworth
State: GA

Zip

30101-

Home

(770) 529-1062

Family Status

Two parent family w/children

COB

Colombia

Gender

Male

Housing

Doubling Up

Education Level

High school graduate

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