Pancho - SAL-IRI-90

Code: SAL-IRI-90
Mercy ID: V-00261-12
Encounter Date: 08/16/2000
Last: Salazar
First: Iris
DOB: 04/08/1990
County: Dekalb
Street: 3500 azalea place
City: Chamblee
State: GA

Zip

30341-

Home

(770) 234-9795

Family Status

Attached youth

COB

Guatemala

Gender

Female Child

Housing

Not Homeless

Education Level

Grade school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	mirna salazar	10/24/1963	Guatemala
Father	felix salazar	02/04/1963	Guatemala
Step Parent	.	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
Name of School: nancy creek
Grade: 5th.
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: K. Aleman
Data Entry: D. Gomez