Pancho - CAR-NER-02

Code: CAR-NER-02
Mercy ID: V-00976-11
Encounter Date: 07/17/2002
Last: Cardoza
First: Nerisabel
DOB: 06/08/2002
County: Fulton
Street: 338 Walk Creek
City: Roswell
State: GA

Zip

30076-

Home

(678) 357-7936

Family Status

Attached youth

COB

USA

Gender

Female Child

Housing

Doubling Up

Education Level

Child, not in school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Erika Vargas	03/08/1974	Mexico
Father	Marco A. Cardoza	10/03/1975	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
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: Y. Garcia
Data Entry: K. Aleman