Pancho - MAL-XOC-96

Code: MAL-XOC-96
Mercy ID: V-00668-11
Encounter Date: 04/17/2002
Last: Maldonado
First: Xochitl
DOB: 05/25/1996
County: Dekalb
Street: 1609 Avon Ave.
City: Tucker
State: GA

Zip

30084-

Home

(770) 934-1031

Family Status

Attached youth

COB

USA

Gender

Female Child

Housing

Not Homeless

Education Level

Preschool

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Silvia Maldonado	12/10/1964	Mexico
Father	Jose de la Cruz	04/29/1967	Honduras
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother
Name of School: Brockett 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