Pancho - MAR-AND-94

Code: MAR-AND-94
Mercy ID: V-00411-12
Encounter Date: 05/23/2001
Last: Marquez
First: Andrea
DOB: 11/10/1994
County: Dekalb
Street: 9109 Cannon Farm Hill Rd. X-79109
City: Atlanta
State: GA

Zip

30329-

Home

(404) 267-1300

Family Status

Attached youth

COB

Mexico

Gender

Female Child

Housing

Not Homeless

Education Level

Preschool

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Olivia Ayala	10/06/1977	Mexico
Father	N/A	N/A	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother
Name of School: McLendon Elementary
Grade: Kinder
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