Pancho - SIL-ADR-83

Code: SIL-ADR-83
Mercy ID: V-01226-01
Encounter Date: 05/09/2003
Last: Silva
First: Adriana
DOB: 09/15/1983
County: Gwinnett
Street: 1408 Rockglen Rd
City: Norcross
State: GA

Zip

30093-

Home

(770) 724-0922

Family Status

Single adult

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. Manzo
Data Entry: K. Aleman