Pancho - COR-ISA-87

Code: COR-ISA-87
Mercy ID: V-00088-11
Encounter Date: 02/21/2000
Last: Cordero
First: Isalane
DOB: 03/10/1987
County: Fulton
Street: 1505 chattahooche ave #80
City: Atlanta
State: GA

Zip

30318-

Home

(404) 367-0479

Family Status

Attached youth

COB

Puerto Rico

Gender

Female Child

Housing

Doubling Up

Education Level

Grade school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	olga cruz	11/30/1966	Puerto Rico
Father	michael cordero	10/25/1965	Puerto Rico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
Name of School: sotton middle school
Grade: 6th.
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: J. Manzo
Data Entry: D. Gomez