Pancho - GAR-STA-89

Code: GAR-STA-89
Mercy ID: V-00708-11
Encounter Date: 10/17/2001
Last: Garcia
First: Stacy
DOB: 04/06/1989
County: Gwinnett
Street: 2305 Mowell Trace
City: Duluth
State: GA

Zip

30096-

Home

(678) 473-1340

Family Status

Attached youth

COB

Guatemala

Gender

Female Child

Housing

Not Homeless

Education Level

Grade school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Miriam Soto	N/A	Guatemala
Father	Orlando Garcia	N/A	Guatemala
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother
Name of School: Duluth Middle School
Grade: 7th.
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: Y. Garcia
Data Entry: K. Aleman