Pancho - CHA-NAI-94

Code: CHA-NAI-94
Mercy ID: V-00684-11
Encounter Date: 10/25/1994
Last: Chavez
First: Naila
DOB: 10/25/1994
County: Cobb
Street: 3510 Buford Hwy Apt. W7
City: Atlanta
State: GA

Zip

30329-

Home

(678) 488-9405

Family Status

Attached youth

COB

Guatemala

Gender

Female Child

Housing

Doubling Up

Education Level

Grade school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Silvia Castillo	03/18/1967	Guatemala
Father	Jose Chavez	07/25/1959	Guatemala
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother
Name of School: Montclair Elementary
Grade: 1st.
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