Pancho - MEN-JUA-90

Code: MEN-JUA-90
Mercy ID: V-00276-11
Encounter Date: 09/20/2000
Last: Mendoza
First: Juana
DOB: 09/02/1990
County: Fulton
Street: 5320 Roswelll Rd
City: Atlanta
State: GA

Zip

30342-

Home

(404) 255-4578

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	julia muños	01/09/1962	Mexico
Father	fernadp mendoza	10/08/1957	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother
Name of School: five points
Grade: 4th.
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: D. Gomez