GAR-SAN-11

Code
GAR-SAN-11
Mercy ID
W-00005-11
Encounter Date
04/06/2005
Last
Garcia
First
Sandra j
DOB
10/23/2003
County
Fulton
Street
1568 Woodland Circle
City
Atlanta
State
GA
Zip
30316-
Home
(404) 622-9021
Family Status
Attached youth
COB
Mexico
Gender
Female Child
Housing
Doubling Up
Education Level
Child, not in school
Home Owner
No

Parents Information

Name DOB COB
Mother Yeni Garcia 07/10/1980 Mexico
Father Francisco Esparza 10/10/1977 Mexico
Step Parent N/A N/A N/A
Driver
No
Relative
No
Stranger
No
NOTES
Lives With
Parents
Name of School
N/A
Grade
N/A
Who Can't Pickup the Child

Media

NO DOY PERMISO
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