Pancho - MAN-CLA-90

Code: MAN-CLA-90
Mercy ID: W-00001-11
Encounter Date: 04/11/2000
Last: Manzo
First: Claudia
DOB: 11/20/1990
County: Gwinnett
Street: 4511 John Dr.
City: Norcross
State: GA

Zip

30093-

Home

(770) 925-4314

Family Status

Attached youth

COB

Nicaragua

Gender

Female Child

Housing

Doubling Up

Education Level

Grade school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Jacqueline Manzo	04/07/1960	Nicaragua
Father	Victor Manzo	10/14/1963	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
Name of School: Immaculate Heart of Mary
Grade: 3rd.
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: J. Manzo
Data Entry: Y. Garcia