Pancho - NAV-MAL-01

Code: NAV-MAL-01
Mercy ID: V-02125-11
Encounter Date: 01/11/2006
Last: Navarrete
First: Malinaly
DOB: 04/02/2001
County: Fulton
Street: 2572 Lenox Rd
City: Atlanta
State: GA

Zip

30324-

Home

(404) 816-7320

Family Status

Attached youth

COB

USA

Gender

Female Child

Housing

Not Homeless

Education Level

Preschool

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Dora Nelly Espinosa	03/25/1979	Mexico
Father	Jose Navarrete	02/07/1974	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
Name of School: Easter Seal
Grade: Pre-K
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: Volunteer
Data Entry: R. Gonzalez