Pancho - ALV-MAR-32

Code: ALV-MAR-32
Mercy ID: V-01032-01
Encounter Date: 11/13/2002
Last: Alvarez
First: Maria del carmen
DOB: 10/21/1965
County: Dekalb
Street: 3630 Shallowford Rd. Apt. F1
City: Doraville
State: GA

Zip

30340-

Home

(770) 458-4743

Family Status

Two parent family w/children

COB

Mexico

Gender

Female

Housing

Not Homeless

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: J. Perez
Data Entry: K. Aleman