Pancho - LAB-YAS-97

Code: LAB-YAS-97
Mercy ID: V-00058-11
Encounter Date: 01/14/2004
Last: Laboy
First: Yasmen
DOB: 01/04/1997
County: Dekalb
Street: 4096 Phil Niekro Parkway
City: Norcross
State: GA

Zip

30093-

Home

(678) 437-0614

Family Status

Attached youth

COB

Mexico

Gender

Female Child

Housing

Not Homeless

Education Level

Grade school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Carlota Hernandez	07/17/1973	Mexico
Father	Jose Luis Laboy	11/24/1969	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother
Name of School: N/A
Grade: 1st.
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