Pancho - MEL-MAD-90

Code: MEL-MAD-90
Mercy ID: V-00639-11
Encounter Date: 08/15/2001
Last: Melchor
First: Ma de los angeles
DOB: 01/27/1990
County: Fulton
Street: 3378 La Vista Dr.
City: Hapeville
State: GA

Zip

30354-

Home

(404) 762-9368

Family Status

Attached youth

COB

Mexico

Gender

Female Child

Housing

Not Homeless

Education Level

Grade school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Hortencia Soto	07/27/1968	Mexico
Father	Juan Melchor	06/24/1967	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
Name of School: East Point Middle
Grade: 6th.
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