Pancho - FUE-VAN-97

Code: FUE-VAN-97
Mercy ID: V-00587-11
Encounter Date: 07/11/2001
Last: Fuentes
First: Vanessa
DOB: 05/02/1997
County: Fulton
Street: 3707 Buford Hwy #8
City: Atlanta
State: GA

Zip

30329-

Home

(404) 992-6459

Family Status

Attached youth

COB

El Salvador

Gender

Female Child

Housing

Not Homeless

Education Level

Child, not in school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Maria Cisneros	02/07/1965	El Salvador
Father	Hector Fuentes	12/23/1969	El Salvador
Step Parent	Regino Garcia	06/29/1975	Mexico

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: K. Aleman
Data Entry: K. Aleman