PAC-EST-61

Code
PAC-EST-61
Mercy ID
V-00686-01
Encounter Date
09/19/2001
Last
Pacheco
First
Estela
DOB
01/05/1961
County
Cherokee
Street
449 Center St.
City
Canton
State
GA
Zip
30114-
Home
(678) 770-7323
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
some high 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
NOTES
Lives With
N/A
Name of School
N/A
Grade
N/A
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
J. Perez
Data Entry
K. Aleman