Pancho - DUR-JUA-02

Code: DUR-JUA-02
Mercy ID: V-01976-21
Encounter Date: 07/27/2005
Last: Durango
First: Juan jose
DOB: 02/13/2002
County: Gwinnett
Street: 604 Hampton Ridge Rd.
City: Norcross
State: GA

Zip

30093-

Home

(678) 760-8412

Family Status

Attached youth

COB

Colombia

Gender

Male Child

Housing

Not Homeless

Education Level

Child, not in school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Rosa Arango	N/A	Colombia
Father	Luis Alberto Durango	N/A	Colombia
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