Pancho - FUE-GIS-96

Code: FUE-GIS-96
Mercy ID: V-00397-11
Encounter Date: 02/06/2001
Last: Fuentes
First: Gisela
DOB: 03/15/1996
County: Dekalb
Street: 512 North Summit St.
City: Stone mountain
State: GA

Zip

30088-

Home

(404) 294-9982

Family Status

Attached youth

COB

Mexico

Gender

Female Child

Housing

Doubling Up

Education Level

Preschool

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Mariela Diaz	05/24/1968	Mexico
Father	Leopoldo Fuentes	10/19/1967	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother
Name of School: Yoshiva
Grade: Pre-K
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: K. Aleman