Pancho - LOP-LAU-89

Code: LOP-LAU-89
Mercy ID: V-00354-11
Encounter Date: 10/17/2001
Last: Lopez
First: Laura
DOB: 06/16/1989
County: Dekalb
Street: 6750 Peachtree Ind. Blv. #304
City: Doraville
State: GA

Zip

30360-

Home

(770) 613-9625

Family Status

Attached youth

COB

Mexico

Gender

Female Child

Housing

Doubling Up

Education Level

some high school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Imelda Orosco	07/31/1971	Mexico
Father	Salvador Lopez Padilla	N/A	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother
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