Pancho - GUE-BRE-02

Code: GUE-BRE-02
Mercy ID: V-02293-12
Encounter Date: 08/09/2006
Last: Guevara
First: Brenda
DOB: 08/13/2002
County: Gwinnett
Street: 735 Martha Dr.
City: Lawrenceville
State: GA

Zip

30045-

Home

(404) 457-0342

Family Status

Attached youth

COB

USA

Gender

Female Child

Housing

Not Homeless

Education Level

Preschool

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Yesenia Hernandez	10/10/1976	El Salvador
Father	Henry Guevara	08/22/1973	El Salvador
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
Name of School: N/A
Grade: Pre-K
Who Can't Pickup the Child
Authoritation Parent: No
Authoritation Child: No
DOY PERMISO: YES
Limitado Educativo: No
Limitado Impresos: No
Limitado Caminar Latino: No

Intake: Y. Garcia
Data Entry: J. Manzo