Pancho - GUE-EDW-99

Code: GUE-EDW-99
Mercy ID: V-00928-23
Encounter Date: 05/16/2002
Last: Guerrero
First: Edwin
DOB: 03/31/1999
County: Gwinnett
Street: 1091 Beardwalk Place
City: Lawrenceville
State: GA

Zip

30044-

Home

(678) 985-2195

Family Status

Attached youth

COB

Mexico

Gender

Male Child

Housing

Doubling Up

Education Level

Child, not in school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Blanca I. Higuera	07/09/1968	Mexico
Father	Jose Angel Guerrero	10/02/1968	Mexico
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