Pancho - MCC-DAN-99

Code: MCC-DAN-99
Mercy ID: V-00156-12
Encounter Date: 03/29/2000
Last: Mccurdy
First: Daniela
DOB: 08/25/1999
County: Gwinnett
Street: 218 ashley run dr
City: Norcross
State: GA

Zip

30092-

Home

(678) 421-0200

Family Status

Attached youth

COB

Mexico

Gender

Female Child

Housing

Not Homeless

Education Level

Child, not in school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	adriana mccurdy	06/19/1974	Mexico
Father	daniel mccurdy	N/A	Mexico
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: K. Aleman
Data Entry: S. Aviña