Pancho - AGU-VIV-91

Code: AGU-VIV-91
Mercy ID: V-02449-11
Encounter Date: 03/14/2007
Last: Aguilera
First: Viviana
DOB: 02/08/1991
County: Dekalb
Street: 2217 Dresden Villa
City: Atlanta
State: GA

Zip

30341-

Cell

(678) 531-5679

Family Status

Child/Youth

COB

Mexico

Gender

Female Child

Housing

Single Family

Education Level

some high school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Margarita Tadeo	03/25/1969	Mexico
Father	Enrique Aguilera	09/11/1968	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Brother
Name of School: No va a la escuela
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: C. Martinez
Data Entry: J. Manzo