Pancho - SAL-JOS-96

Code: SAL-JOS-96
Mercy ID: V-00261-14
Encounter Date: 08/16/2000
Last: Salazar
First: Josye
DOB: 06/29/1996
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

Child, not in 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	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: K. Aleman
Data Entry: D. Gomez