GAM-MAR-00

Code
GAM-MAR-00
Mercy ID
V-02124-11
Encounter Date
02/08/2006
Last
Gama
First
Maria
DOB
03/08/2000
County
Dekalb
Street
3505 Chamblee Dunwoody Way
City
Chamblee
State
GA
Zip
30341-
Home
(770) 458-6268
Family Status
Attached youth
COB
Mexico
Gender
Female Child
Housing
Not Homeless
Education Level
Preschool
Home Owner
No

Parents Information

Name DOB COB
Mother Martha Vergara 08/25/1981 Mexico
Father Esteban Gama 12/05/1973 Mexico
Step Parent N/A N/A N/A
Driver
No
Relative
No
Stranger
No
NOTES
Lives With
Parents
Name of School
Nancy Creek Elem
Grade
Kinder
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
R. Gonzalez
Data Entry
R. Gonzalez