MOR-ANA-96

Code
MOR-ANA-96
Mercy ID
V-00031-12
Encounter Date
10/10/2001
Last
Moreno
First
Ana
DOB
02/11/1996
County
Gwinnett
Street
6740 Graves Mill
City
Norcross
State
GA
Zip
30093-
Home
(678) 406-0319
Family Status
Attached youth
COB
Mexico
Gender
Female Child
Housing
Doubling Up
Home Owner
YES

Parents Information

Name DOB COB
Mother Maribel Moreno 09/18/1964 Mexico
Father Fortino Moreno 08/12/1961 Mexico
Step Parent N/A N/A N/A
Driver
No
Relative
No
Stranger
No
NOTES
Lives With
Mother
Name of School
N/A
Grade
N/A
Who Can't Pickup the Child

Media

NO DOY PERMISO
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