Pancho - AYA-NEI-90

Code: AYA-NEI-90
Mercy ID: V-01036-11
Encounter Date: 02/25/2003
Last: Ayala
First: Neidy
DOB: 08/13/1990
County: Fulton
Street: 5735 Roswell Rd. Apt. 407
City: Atlanta
State: GA

Zip

30342-

Home

(404) 252-1390

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	Concepcion Ayala	03/25/1962	Mexico
Father	Sergio Ayala	N/A	Guatemala
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