Pancho - ESP-CHR-02

Code: ESP-CHR-02
Mercy ID: V-01871-11
Encounter Date: 04/13/2005
Last: Espinoza
First: Christine i
DOB: 05/08/2002
County: Gwinnett
Street: 3102 Treehouse Parkway
City: Norcross
State: GA

Zip

30093-

Home

(770) 893-5110

Family Status

Attached youth

COB

Mexico

Gender

Female Child

Housing

Doubling Up

Education Level

Child, not in school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Christine Santillan	12/20/1984	Mexico
Father	Victor Ivan Espinoza	06/01/1982	Mexico
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: Volunteer
Data Entry: K. Aleman