GON-DIA-03

Code
GON-DIA-03
Mercy ID
V-02390-11
Encounter Date
01/10/2007
Last
Gonzalez
First
Dianara
DOB
05/08/2003
County
Gwinnett
Street
not given
City
Lawrenceville
State
GA
Zip
30043-
Family Status
Attached youth
COB
USA
Gender
Female Child
Housing
Doubling Up
Education Level
Child, not in school
Home Owner
YES

Parents Information

Name DOB COB
Mother Jacqueline Castro 06/15/1975 Colombia
Father N/A N/A N/A
Step Parent N/A N/A N/A
Driver
No
Relative
No
Stranger
No
NOTES
Lives With
Mother
Name of School
N/A
Grade
N/A
Who Can't Pickup the Child

Media

NO DOY PERMISO
Authoritation Parent
No
Authoritation Child
No
DOY PERMISO
No
Limitado Educativo
No
Limitado Impresos
No
Limitado Caminar Latino
No
Intake
Volunteer
Data Entry
J. Manzo