Pancho - PUJ-PHI-93

Code: PUJ-PHI-93
Mercy ID: V-00658-21
Encounter Date: 08/29/2001
Last: Pujada
First: Philipp
DOB: 11/09/1993
County: Gwinnett
Street: 3256 Amesbuey Way
City: Duluth
State: GA

Zip

30096-

Home

(678) 474-0757

Family Status

Attached youth

COB

Perú

Gender

Male Child

Housing

Not Homeless

Education Level

Grade school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Mercedes Pujada	09/22/1964	Perú
Father	Felix Pujada	09/04/1966	Perú
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother
Name of School: BB Harris
Grade: 2nd.
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