CAS-TAN-02

Code
CAS-TAN-02
Mercy ID
V-01690-11
Encounter Date
09/15/2004
Last
Casique
First
Tania
DOB
04/15/2002
County
Gwinnett
Street
100 Castor Dr. Apt N4
City
Norcross
State
GA
Zip
30071-
Cell
(404) 379-8997
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 Ester Casique 03/09/1979 Mexico
Father Alejandro Casique N/A 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