Pancho - GAL-THA-97

Code: GAL-THA-97
Mercy ID: V-02216-12
Encounter Date: 04/19/2006
Last: Gallegos
First: Thalia
DOB: 04/11/1997
County: Dekalb
Street: 3510 Buford Hwy Apt H-8
City: Atlanta
State: GA

Zip

30329-

Home

(707) 636-6955

Family Status

Attached youth

COB

Mexico

Gender

Female Child

Housing

Not Homeless

Education Level

Grade school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Alejandra hernandez	03/12/1971	Mexico
Father	Jose Rangel	04/03/1970	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
Name of School: Montclair Elem
Grade: 3rd.
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: R. Gonzalez
Data Entry: R. Gonzalez