Pancho - CAR-MAR-65

Code: CAR-MAR-65
Mercy ID: V-01553-01
Encounter Date: 04/06/2004
Last: Cardenas
First: Maria
DOB: 08/20/1965
County: Dekalb
Street: 1676 Briarcliff Rd.
City: Atlanta
State: GA

Zip

30306-

Home

(404) 879-0486

Cell

(404) 365-0001

Family Status

Single adult

COB

El Salvador

Gender

Female

Housing

Not Homeless

Education Level

Grade 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