Pancho - HER-REB-85

Code: HER-REB-85
Mercy ID: V-01107-01
Encounter Date: 01/27/2003
Last: Hernandez
First: Rebeca
DOB: 02/26/1985
County: Dekalb
Street: 3652
City: Terrace Dr. Apt. B36
State: GA

Zip

30341-

Home

(404) 454-6529

Family Status

Attached youth

COB

Mexico

Gender

Female

Housing

Doubling Up

Education Level

Grade school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	N/A	N/A	N/A
Father	N/A	N/A	N/A
Step Parent	N/A	N/A	N/A

Driver: YES
Relative: YES
Stranger: No
Lives With: N/A
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: J. Manzo
Data Entry: K. Aleman