Pancho - CRU-TAN-86

Code: CRU-TAN-86
Mercy ID: V-00103-11
Encounter Date: 02/21/2000
Last: Cruz
First: Tania
DOB: 12/09/1986
County: Dekalb
Street: 765 Shallowford Rd. Apt. h
City: Chamblee
State: GA

Zip

30341-

Home

(770) 455-4495

Family Status

Attached youth

COB

Mexico

Gender

Female Child

Housing

Not Homeless

Education Level

Grade school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Ermelanda Aparicio	N/A	Mexico
Father	Aristeo Cruz	N/A	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Father
Name of School: Sequeoya Middle School
Grade: 8th.
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