Pancho - SOL-ANA-01

Code: SOL-ANA-01
Mercy ID: V-00891-12
Encounter Date: 04/17/2002
Last: Solis garcia
First: Ana maria
DOB: 11/03/2001
County: Dekalb
Street: 104 Chamblee Tucker Rd.
City: Chamblee
State: GA

Zip

30341-

Home

(770) 986-9785

Family Status

Attached youth

COB

Mexico

Gender

Female Child

Housing

Not Homeless

Education Level

Child, not in school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Yuridia Garcia	05/12/1977	Mexico
Father	Enrique Solis	12/16/1972	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