Pancho - MOR-SOP-03

Code: MOR-SOP-03
Mercy ID: V-01722-11
Encounter Date: 10/13/2004
Last: Morvan
First: Sophia
DOB: 05/23/2003
County: Gwinnett
Street: 720 Ashley Lane Walk
City: Lawrenceville
State: GA

Zip

30045-

Home

(770) 374-6972

Family Status

Attached youth

COB

Mexico

Gender

Female Child

Housing

Not Homeless

Education Level

Child, not in school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Paula Morales	11/03/1978	Uruguay
Father	Andrei Morva	02/17/1978	romania
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother
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