Pancho - CAS-KAR-83

Code: CAS-KAR-83
Mercy ID: V-00987-11
Encounter Date: 02/26/2003
Last: Castellano
First: Karen
DOB: 12/08/1983
County: Dekalb
Street: 3560 Oak Chamblee Tucker Rd. #1
City: Doraville
State: GA

Zip

30340-

Home

(770) 939-6889

Family Status

Attached youth

COB

Honduras

Gender

Female Child

Housing

Not Homeless

Education Level

some high school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Elizabeth Coronado	12/11/1965	Honduras
Father	Armando Coronado	04/01/1948	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother w/Stepfather
Name of School: Lakeside High School
Grade: 12th.
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