Pancho - MUN-GAB-01

Code: MUN-GAB-01
Mercy ID: V-00774-11
Encounter Date: 12/05/2001
Last: Munera
First: Gabriela
DOB: 03/03/2001
County: Gwinnett
Street: 3450 Jones Mill Rd. Apt. 906
City: Norcross
State: GA

Zip

30092-

Home

(770) 303-0130

Family Status

Attached youth

COB

Colombia

Gender

Female Child

Housing

Not Homeless

Education Level

Child, not in school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Carolina Munera	01/27/2001	Colombia
Father	Edwin Munera	07/20/1969	Colombia
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