Pancho - IBA-SIL-81

Code: IBA-SIL-81
Mercy ID: V-00724-01
Encounter Date: 10/26/2001
Last: Ibarra
First: Silvia
DOB: 12/31/1981
County: Dekalb
Street: 2795 D Shallowford Rd.
City: Chamblee
State: GA

Zip

30341-

Home

(770) 451-7186

Family Status

Adult coupie-no 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. Manzo
Data Entry: K. Aleman