Pancho - DES-VAN-95

Code: DES-VAN-95
Mercy ID: V-00100-12
Encounter Date: 04/11/2000
Last: Desantos
First: Vanessa
DOB: 08/10/1995
County: Gwinnett
Street: 571 Overlook Dr.
City: Stone Mt.
State: GA

Zip

30087-

Home

(770) 337-8284

Family Status

Attached youth

COB

Mexico

Gender

Female Child

Housing

Doubling Up

Education Level

Preschool

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Angelica De Santos	03/11/1976	Mexico
Father	Jorge De Santos	N/A	Mexico
Step Parent	N/A	N/A	N/A

Driver: YES
Relative: No
Stranger: No
Lives With: Parents
Name of School: Sikes School
Grade: Pre-K
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: Y. Garcia