Pancho - GAL-EST-68

Code: GAL-EST-68
Mercy ID: V-00020-01
Encounter Date: 01/05/2000
Last: Gallardo
First: Estela
DOB: 08/08/1968
County: Fulton
Street: 728 Lindberg Dr. Apt. C
City: Atlanta
State: GA

Zip

30324-

Home

(404) 812-9265

Family Status

Adult coupie-no children

COB

Mexico

Gender

Female

Housing

Doubling Up

Education Level

Grade school

Home Owner

No

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. Manzo
Data Entry: Y. Garcia