Pancho - LUC-STE-02

Code: LUC-STE-02
Mercy ID: V-01443-12
Encounter Date: 07/14/2004
Last: Lucero
First: Stephany
DOB: 03/01/2002
County: Gwinnett
Street: 5614 Executive Way
City: Norcross
State: GA

Zip

30371-

Home

(770) 949-1882

Family Status

Attached youth

COB

Mexico

Gender

Female Child

Housing

Doubling Up

Education Level

Child, not in school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Azucena Dueñez B.	N/A	Mexico
Father	Ronan Lucero	07/14/1969	Guatemala
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