Pancho - HER-ZOI-76

Code: HER-ZOI-76
Mercy ID: V-01297-01
Encounter Date: 07/31/2003
Last: Herrera
First: Zoila
DOB: 11/02/1976
County: Dekalb
Street: Not given
City: Doraville
State: GA

Zip

N/A

Home

(770) 938-4410

Family Status

Single parent w/children

COB

Guatemala

Gender

Female

Housing

Other

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: 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