Pancho - JUA-NAT-96

Code: JUA-NAT-96
Mercy ID: V-00390-11
Encounter Date: 02/06/2001
Last: Juarez
First: Nataly
DOB: 12/05/1996
County: Dekalb
Street: 512 North Summit St.
City: Stone mountain
State: GA

Zip

30088-

Home

(770) 939-3566

Family Status

Attached youth

COB

Mexico

Gender

Female Child

Housing

Doubling Up

Education Level

Preschool

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Daniela Diaz	05/01/1977	Mexico
Father	Fernando Juarez	07/22/1965	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
Name of School: Yoshiva
Grade: Pre-K
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