Pancho - MEJ-NAT-02

Code: MEJ-NAT-02
Mercy ID: V-02263-12
Encounter Date: 06/14/2006
Last: Mejia
First: Natalia
DOB: 10/24/2002
County: Fulton
Street: 13203 Summerwood Lane
City: Alpharetta
State: GA

Zip

30005-

Home

(678) 624-1236

Cell

(404) 455-3531

Family Status

Attached youth

COB

USA

Gender

Female Child

Housing

Not Homeless

Education Level

Child, not in school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Claudia Garcia	08/07/1970	Mexico
Father	Dionicio Mejia	10/07/1964	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
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: R. Gonzalez
Data Entry: R. Gonzalez