Pancho - LAR-PAB-98

Code: LAR-PAB-98
Mercy ID: V-01207-21
Encounter Date: 05/02/2003
Last: Lara
First: Pablo
DOB: 04/08/1998
County: Gwinnett
Street: 1176 Sheldy Dr.
City: Norcross
State: GA

Zip

30093-

Home

(770) 609-3143

Family Status

Attached youth

COB

Mexico

Gender

Male Child

Housing

Doubling Up

Education Level

Preschool

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Ana Pacheco	08/28/1978	Mexico
Father	Nicolas Lara	N/A	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother
Name of School: N/A
Grade: Pre-K
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