Pancho - GON-YES-97

Code: GON-YES-97
Mercy ID: V-00159-11
Encounter Date: 04/03/2001
Last: Gonzalez
First: Yessica
DOB: 11/18/1997
County: Dekalb
Street: 3512 apt b - 3 chamble dunwoody
City: Chamble
State: GA

Zip

30341-

Home

(770) 452-8408

Family Status

Attached youth

COB

Mexico

Gender

Female Child

Housing

Not Homeless

Education Level

Child, not in school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	maria gonzalez martinez	03/13/1978	Mexico
Father	horacio martinez	N/A	Mexico
Step Parent	raul martinez	N/A	Mexico

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: K. Aleman
Data Entry: S. Aviña