Pancho - MAL-ISA-94

Code: MAL-ISA-94
Mercy ID: V-00439-11
Encounter Date: 03/07/2001
Last: Maldonado
First: Isamary
DOB: 11/19/1994
County: Fulton
Street: 6915 Roswell Rd. Apt. D
City: Atlanta
State: GA

Zip

30328-

Home

(770) 396-1157

Family Status

Attached youth

COB

USA

Gender

Female Child

Housing

Not Homeless

Education Level

Grade school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Haydee Maldonado	02/10/1977	Mexico
Father	N/A	N/A	Mexico
Step Parent	Rosendo Carbajal	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother w/Stepfather
Name of School: Spalding Dr. 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