Pancho - GRA-CRI-72

Code: GRA-CRI-72
Mercy ID: V-01248-01
Encounter Date: 06/20/2003
Last: Grajales
First: Cristina
DOB: 09/25/1972
County: Dekalb
Street: 3610 Buford Hwy E-8
City: Atlanta
State: GA

Zip

30329-

Home

(404) 248-1712

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. Manzo
Data Entry: K. Aleman