Pancho - RAM-GUA-01

Code: RAM-GUA-01
Mercy ID: V-00577-11
Encounter Date: 07/11/2001
Last: Ramirez
First: Guadalupe
DOB: 06/17/2001
County: Dekalb
Street: 3966 Spanish Oak
City: Doraville
State: GA

Zip

30340-

Home

(770) 326-9902

Family Status

Attached youth

COB

Mexico

Gender

Female Child

Housing

Not Homeless

Education Level

Child, not in school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Rosario Ramirez	12/29/1977	Mexico
Father	Luis Valente	N/A	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother
Name of School: N/A
Grade: N/A
Who Can't Pickup the Child: Luis Valente
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