Pancho - MAN-DAN-00

Code: MAN-DAN-00
Mercy ID: V-00620-11
Encounter Date: 09/05/2001
Last: Manzo
First: Daniela
DOB: 06/03/2000
County: Dekalb
Street: 3700 Buford Hwy Apt. 51
City: Atlanta
State: GA

Zip

30329-

Home

(404) 321-5296

Family Status

Attached youth

COB

Mexico

Gender

Female Child

Housing

Doubling Up

Education Level

Child, not in school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Erika Martinez	11/18/1979	Mexico
Father	Jesus Manzo	N/A	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