Pancho - UMA-MAR-66

Code: UMA-MAR-66
Mercy ID: V-00896-01
Encounter Date: 04/15/2002
Last: Umaña
First: Maria
DOB: 12/28/1966
County: Gwinnett
Street: 3400 Sweetwater Rd. Apt. 11
City: Lawrencville
State: GA

Zip

30044-

Home

(770) 931-1652

Cell

(404) 867-4000

Family Status

Single parent w/children

COB

El Salvador

Gender

Female

Housing

Not Homeless

Education Level

High school graduate

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: YES
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. Perez
Data Entry: K. Aleman