Pancho - SAN-KEN-02

Code: SAN-KEN-02
Mercy ID: V-01944-11
Encounter Date: 06/22/2005
Last: Sanchez
First: Kenia
DOB: 01/30/2002
County: Dekalb
Street: 6137-D New Peachtree Rd.
City: Atlanta
State: GA

Zip

30340-

Cell

(770) 875-5845

Family Status

Attached youth

COB

Mexico

Gender

Female Child

Housing

Doubling Up

Education Level

Child, not in school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Cristina Diego	11/20/1975	Mexico
Father	Juan Sanchez	N/A	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother
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