Code
BAL-TAN-86
Mercy ID
V-00680-11
Encounter Date
09/19/2001
Last
Balderas
First
Tania
DOB
07/27/1986
County
Cobb
Street
2401 Windy Hill
City
Marietta
State
GA
Zip
30067-
Home
(770) 226-0894
Family Status
Attached youth
COB
Mexico
Gender
Female Child
Housing
Not Homeless
Education Level
some high school
Home Owner
No

Parents Information

Name DOB COB
Mother Maria Hernandez 04/07/1968 Mexico
Father Alberto Padron 01/03/1968 Mexico
Step Parent N/A N/A N/A
Driver
No
Relative
No
Stranger
No
NOTES
Lives With
Mother
Name of School
East Cobb High School
Grade
9th.
Who Can't Pickup the Child

Media

NO DOY PERMISO
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