Pancho - BAL-STE-90

Code: BAL-STE-90
Mercy ID: V-02164-11
Encounter Date: 02/15/2006
Last: Balderas
First: Stephanie
DOB: 02/25/1990
County: Gwinnett
Street: 4275 Janet Ct NW
City: Lilburn
State: GA

Zip

30047-

Home

(770) 256-7001

Family Status

Attached youth

COB

USA

Gender

Female Child

Housing

Not Homeless

Education Level

some high school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Gloria Luna	01/31/1973	USA
Father	Pablo Torres	05/29/1965	USA
Step Parent	Miguel Luna	09/29/1968	Mexico

Driver: No
Relative: No
Stranger: No
Lives With: Mother w/Stepfather
Name of School: Parkview
Grade: 9th.
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: Volunteer
Data Entry: R. Gonzalez