Pancho - VEG-MAR-70

Code: VEG-MAR-70
Mercy ID: V-00961-01
Encounter Date: 06/27/2002
Last: Vega
First: Maria de la luz
DOB: 01/07/1970
County: Dekalb
Street: 3359 Hood Ave. Apt. 18
City: Chamblee
State: GA

Zip

30341-

Home

(770) 451-5214

Family Status

Two parent family w/children

COB

Mexico

Gender

Female

Housing

Doubling Up

Education Level

some high 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: 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