Pancho - BEC-LIL-82

Code: BEC-LIL-82
Mercy ID: V-01352-01
Encounter Date: 09/17/2003
Last: Becerril
First: Liliana
DOB: 12/16/1982
County: Fulton
Street: 2846 Bufford Hwy Apt 3
City: Atlanta
State: GA

Zip

30329-

Home

(678) 362-9735

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: 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