Pancho - COR-YAS-93

Code: COR-YAS-93
Mercy ID: V-00416-12
Encounter Date: 03/07/2001
Last: Correa
First: Yasmin
DOB: 02/12/1993
County: Fulton
Street: 819 Tahoe Run Apt. J
City: Roswell
State: GA

Zip

30076-

Home

(770) 640-4678

Family Status

Attached youth

COB

Mexico

Gender

Female Child

Housing

Not Homeless

Education Level

Grade school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Juana Garcia	03/19/1967	Mexico
Father	Martin Correa	N/A	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
Name of School: Mimossa
Grade: 3rd.
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: K. Aleman