Pancho - REY-MAR-93

Code: REY-MAR-93
Mercy ID: V-01557-11
Encounter Date: 05/26/2004
Last: Reyes preciado
First: Mariela
DOB: 12/23/1993
County: Fulton
Street: 3072 Washington Rd. E4
City: East point
State: GA

Zip

30344-

Home

(404) 209-9839

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	Maria Preciado	08/27/1971	Mexico
Father	Leonel Reyes	11/16/1972	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother
Name of School: Oak Knoll Elementary
Grade: 5th.
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: R. Miranda