Pancho - NUÑ-MAD-93

Code: NUÑ-MAD-93
Mercy ID: V-00027-13
Encounter Date: 01/19/2000
Last: Nuñez
First: Madona jessi
DOB: 12/25/1993
County: Dekalb
Street: 2775 NE Expressway #01
City: Atlanta
State: GA

Zip

30345-

Home

(404) 633-3756

Family Status

Attached youth

COB

Mexico

Gender

Female Child

Housing

Not Homeless

Education Level

Preschool

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Maria Guadalupe Martinez	08/16/1963	Mexico
Father	Valente Nuñez	05/21/1965	Mexico
Step Parent	Jose Rodriguez	05/12/1959	Mexico

Driver: No
Relative: No
Stranger: No
Lives With: Mother w/Stepfather
Name of School: Oakcliff
Grade: Kinder
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: J. Perilla
Data Entry: K. Aleman