Pancho - LAU-SIL-79

Code: LAU-SIL-79
Mercy ID: V-01483-01
Encounter Date: 02/09/2004
Last: Lau bavastre
First: Silvana
DOB: 08/24/1979
County: Fulton
Street: 125 Preakness
City: Alpharetta
State: GA

Zip

30022-

Home

(770) 518-8070

Family Status

Single parent w/children

COB

Mexico

Gender

Female

Housing

Doubling Up

Education Level

Some College

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. Perez
Data Entry: K. Aleman