Pancho - LOZ-LES-96

Code: LOZ-LES-96
Mercy ID: V-00172-13
Encounter Date: 08/15/2001
Last: Lozano
First: Lesly
DOB: 11/18/1996
County: Dekalb
Street: 6274 Jane Rd.
City: Doraville
State: GA

Zip

30340-

Home

(770) 638-8715

Family Status

Attached youth

COB

Mexico

Gender

Female Child

Housing

Doubling Up

Education Level

Preschool

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Angelica Manzanares	07/13/1975	Mexico
Father	Ricardo Lozano	N/A	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: K. Aleman
Data Entry: K. Aleman