Pancho - GAR-LIL-78

Code: GAR-LIL-78
Mercy ID: V-00622-01
Encounter Date: 07/17/2001
Last: Garcia
First: Liliana
DOB: 04/27/1978
County: Cobb
Street: 3142 Fernvalle Dr.
City: Marietta
State: GA

Zip

30006-

Home

(678) 290-0387

Family Status

Two parent family w/children

COB

Mexico

Gender

Female

Housing

Doubling Up

Education Level

some high school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	N/A	N/A	N/A
Father	N/A	N/A	N/A
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: N/A
Name of School: N/A
Grade: N/A
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: J. Perez
Data Entry: K. Aleman