Pancho - REM-DIE-97

Code: REM-DIE-97
Mercy ID: V-01468-22
Encounter Date: 01/21/2004
Last: Remigio
First: Diego
DOB: 07/13/1997
County: Gwinnett
Street: 2319 Marshes Lane Dr.
City: Norcross
State: GA

Zip

30071-

Home

(404) 519-0220

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	Teresa Remijio	06/02/1971	Mexico
Father	Carlos Remijio	06/27/1968	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
Name of School: N/A
Grade: 1st.
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