Pancho - GRA-GLO-59

Code: GRA-GLO-59
Mercy ID: V-00874-02
Encounter Date: 04/02/2002
Last: Granillo
First: Glorimel
DOB: 07/22/1959
County: Fulton
Street: Griffin Lake Apt. 401
City: Dunwoody
State: GA

Zip

30352-

Home

(678) 585-7456

Family Status

Two parent family w/children

COB

El Salvador

Gender

Male

Housing

Doubling Up

Education Level

Grade 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: R. Miranda
Data Entry: K. Aleman