Pancho - CAS-NAL-87

Code: CAS-NAL-87
Mercy ID: V-01021-11
Encounter Date: 10/25/2002
Last: Casarubias
First: Nayely
DOB: 02/17/1987
County: Dekalb
Street: 2035 Idlewood Rd.
City: Tucker
State: GA

Zip

30084-

Home

(770) 493-3187

Family Status

Attached youth

COB

Mexico

Gender

Female Child

Housing

Doubling Up

Education Level

Grade school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Ruth Camacho	04/07/1968	Mexico
Father	Leonel Casarubias	06/15/1968	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother
Name of School: Tucker High School
Grade: 9th.
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