Pancho - SOT-ROS-90

Code: SOT-ROS-90
Mercy ID: V-00004-12
Encounter Date: 08/23/1990
Last: Soto
First: Rosalba
DOB: 08/23/1990
County: Dekalb
Street: 6750 Peachtree Industrial Blvd 2205
City: Atlanta
State: GA

Zip

30360-

Home

(404) 454-2231

Family Status

Attached youth

COB

Mexico

Gender

Female Child

Housing

Not Homeless

Education Level

Grade school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Ana Avellanada	06/09/1962	Mexico
Father	Jaime Soto	09/09/1958	Mexico
Step Parent	Hector M. Avila	07/17/1979	Mexico

Driver: No
Relative: No
Stranger: No
Lives With: Mother
Name of School: Woodward Elementary
Grade: 6th.
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: Y. Garcia
Data Entry: K. Aleman