Pancho - GIR-FRA-59

Code: GIR-FRA-59
Mercy ID: V-01216-01
Encounter Date: 04/30/2003
Last: Giron
First: Francisca
DOB: 06/13/1959
County: Cobb
Street: 925 Whitlock Ave. #2704
City: Marietta
State: GA

Zip

30064-

Home

(770) 374-1934

Family Status

Single parent w/children

COB

Guatemala

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