Pancho - SAN-EDI-86

Code: SAN-EDI-86
Mercy ID: V-00318-11
Encounter Date: 10/27/2000
Last: Santana
First: Edith
DOB: 03/10/1986
County: Dekalb
Street: 1458 northclff valley #c
City: Atlanta
State: GA

Zip

30319-

Home

(404) 320-2054

Family Status

Attached youth

COB

Mexico

Gender

Female Child

Housing

Not Homeless

Education Level

some high school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	norma segura	01/04/1960	Mexico
Father	pablo santana	07/07/1954	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother
Name of School: cross keys h.s.
Grade: 10th.
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: S. Aviña