Pancho - GUE-LIL-81

Code: GUE-LIL-81
Mercy ID: V-00021-01
Encounter Date: 01/05/2000
Last: Guerra
First: Liliam
DOB: 02/11/1981
County: Dekalb
Street: 3136 buford hwy
City: Atlanta
State: GA

Zip

30329-

Home

(404) 728-9698

Family Status

Adult coupie-no children

COB

Guatemala

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: S. Aviña