Pancho - QUE-ANA-96

Code: QUE-ANA-96
Mercy ID: V-00436-11
Encounter Date: 07/31/2002
Last: Quezada
First: Anna belia
DOB: 10/03/1996
County: Cobb
Street: 4226 Woodwin Court
City: Doraville
State: GA

Zip

30360-

Home

(770) 457-5616

Family Status

Attached youth

COB

Mexico

Gender

Female Child

Housing

Not Homeless

Education Level

Preschool

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Irma Villa	10/17/1964	Mexico
Father	Jose A. Quezada	05/14/1962	Dominican Rep
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
Name of School: Hightower Elementary
Grade: Kinder
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: Y. Garcia
Data Entry: K. Aleman