Pancho - TRE-STE-08

Code: TRE-STE-08
Mercy ID: V-02960-12
Encounter Date: 01/07/2009
Last: Trejo
First: Stephanie
DOB: 03/28/2008
County: Gwinnett
Street: 2026 Hunter Club Ln.
City: Norcross
State: GA

Zip

30093-

Cell

(678) 777-0935

Family Status

Child/Youth

COB

USA

Gender

Female Child

Housing

Single Family

Education Level

Child, not in school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Maria I Salazar	07/08/1973	Mexico
Father	Jesus Trejo	06/22/1976	USA
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother
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: C. Martinez
Data Entry: J. Manzo