Pancho - GAR-MAR-94

Code: GAR-MAR-94
Mercy ID: V-00694-11
Encounter Date: 11/28/2001
Last: Garcia
First: Mariela
DOB: 06/13/1994
County: Fulton
Street: 1391-F N. Cliff Valley Way
City: Atlanta
State: GA

Zip

30319-

Home

(404) 486-8123

Family Status

Attached youth

COB

Mexico

Gender

Female Child

Housing

Doubling Up

Education Level

Grade school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Paula Correa	01/27/1976	Mexico
Father	Humberto Garcia	06/13/1974	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
Name of School: N/A
Grade: 2nd.
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: Y. Garcia
Data Entry: K. Aleman