Pancho - SER-KIM-99

Code: SER-KIM-99
Mercy ID: V-00742-12
Encounter Date: 11/14/2001
Last: Serrano
First: Kimberly
DOB: 07/02/1999
County: Dekalb
Street: 548 South Wing Dr.
City: Lilburn
State: GA

Zip

30047-

Home

(770) 279-7137

Family Status

Attached youth

COB

Mexico

Gender

Female Child

Housing

Not Homeless

Education Level

Child, not in school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Vicky Serrano	03/17/1966	Mexico
Father	Jose David Serrano	07/15/1965	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
Name of School: N/A
Grade: N/A
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