Pancho - GAR-TER-99

Code: GAR-TER-99
Mercy ID: V-00802-12
Encounter Date: 01/09/2002
Last: Garcia
First: Teresa
DOB: 09/06/1999
County: Gwinnett
Street: 5628 Harvinwood Rd
City: Norcross
State: GA

Zip

30093-

Home

(770) 923-2170

Family Status

Attached youth

COB

USA

Gender

Female Child

Housing

Not Homeless

Education Level

Child, not in school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Alma Garcia	11/18/1971	Mexico
Father	Jose Garcia	09/24/1972	Mexico
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: Y. Garcia
Data Entry: K. Aleman