Pancho - GAR-FER-95

Code: GAR-FER-95
Mercy ID: V-00438-23
Encounter Date: 03/07/2001
Last: Garcia
First: Fernando
DOB: 11/24/1995
County: Dekalb
Street: 2127 Coosawattee Dr.
City: Atlanta
State: GA

Zip

30319-

Home

(404) 248-1019

Family Status

Attached youth

COB

Mexico

Gender

Male Child

Housing

Not Homeless

Education Level

Grade school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Maria Garcia	12/25/1967	Mexico
Father	Jose Luis Garcia	N/A	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
Name of School: Woodward Elementary
Grade: Kinder
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