Pancho - ALV-MIC-94

Code: ALV-MIC-94
Mercy ID: V-01140-11
Encounter Date: 05/02/2003
Last: Alva
First: Michelle
DOB: 11/12/1994
County: Dekalb
Street: 3659 Buford Hwy B-8
City: Atlanta
State: GA

Zip

30329-

Home

(404) 633-3612

Family Status

Attached youth

COB

Mexico

Gender

Female Child

Housing

Doubling Up

Education Level

Grade school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Alicia Perez	06/14/1975	Mexico
Father	N/A	N/A	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother w/Stepfather
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