Pancho - HER-RIC-87

Code: HER-RIC-87
Mercy ID: V-00448-21
Encounter Date: 03/21/2001
Last: Hernandez
First: Ricardo
DOB: 07/09/1987
County: Dekalb
Street: 3010 Kammeyer Lane
City: Chamblee
State: GA

Zip

30347-1

Home

(770) 457-7093

Family Status

Attached youth

COB

Mexico

Gender

Male Child

Housing

Not Homeless

Education Level

some high school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Hermelinda León	08/31/1962	Mexico
Father	Ricardo Hernandez	09/19/1964	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
Name of School: Sequoyah
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