Pancho - CRO-CRY-98

Code: CRO-CRY-98
Mercy ID: B-00018-11
Encounter Date: 01/14/1998
Last: Cortes
First: Crystal
DOB: 01/03/1993
County: Other
Street: 110 Melbrook Cir.
City: Roswell
State: GA

Zip

30076-

Home

(770) 992-5936

Family Status

Attached youth

COB

Mexico

Gender

Female Child

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Maria Magdalena Acosta	N/A	Mexico
Father	N/A	N/A	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: N/A
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: J. Manzo
Data Entry: K. Aleman