Pancho - BAH-JHO-91

Code: BAH-JHO-91
Mercy ID: V-00689-21
Encounter Date: 09/05/2001
Last: Bahena
First: Jhoselin
DOB: 01/05/1991
County: Gwinnett
Street: 27 Fox Croft Way
City: Lawrenceville
State: GA

Zip

30044-

Home

(770) 923-3959

Family Status

Attached youth

COB

Mexico

Gender

Male Child

Housing

Not Homeless

Education Level

Grade school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Silvia Garcia	03/08/1975	Mexico
Father	Alfredo Bahena	11/30/1967	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother
Name of School: Bethesda
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: J. Perilla
Data Entry: K. Aleman