Pancho - CUA-ANA-97

Code: CUA-ANA-97
Mercy ID: V-00941-11
Encounter Date: 06/19/2002
Last: Cuadrado rodriguez
First: Ana maria
DOB: 12/17/1997
County: Gwinnett
Street: 2930 Lake Colony Dr.
City: Norcross
State: GA

Zip

30071-

Home

(678) 873-8606

Family Status

Attached youth

COB

Colombia

Gender

Female Child

Housing

Other

Education Level

Other

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Diana Cuadrado	08/06/1964	Colombia
Father	Mauricio Rodriguez	N/A	Colombia
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: E. Lavizzo
Data Entry: K. Aleman