Pancho - SUA-STE-98

Code: SUA-STE-98
Mercy ID: V-00200-11
Encounter Date: 08/09/2002
Last: Suarez
First: Stephany
DOB: 04/11/1998
County: Cobb
Street: 6780 Mableton Prk Way Lot 49
City: Mableton
State: GA

Zip

30126-

Home

(770) 745-3490

Family Status

Attached youth

COB

Mexico

Gender

Female Child

Housing

Not Homeless

Education Level

Other

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Teresa Suarez	02/28/1971	Mexico
Father	Benjamin Suarez	04/01/1969	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
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: K. Aleman