Pancho - CAS-ELS-72

Code: CAS-ELS-72
Mercy ID: V-00828-01
Encounter Date: 01/29/2002
Last: Castro
First: Elsa
DOB: 07/28/1972
County: Cobb
Street: 642 Allgood Rd. NE Apt 40
City: Marietta
State: GA

Zip

30060-

Home

(678) 797-1151

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: K. Aleman