Pancho - ALV-MAR-92

Code: ALV-MAR-92
Mercy ID: A-00003-01
Encounter Date: 12/03/2003
Last: Alvarez
First: Maria
DOB: 11/13/1992
County: Gwinnett
Street: 605 Amber Dr.
City: Norcross
State: GA

Zip

30071-

Cell

(678) 837-8670

Family Status

Single adult

COB

Mexico

Gender

Female

Housing

Doubling Up

Education Level

some high school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Adela Maya	06/17/1973	Mexico
Father	Simeon Alvarez	09/15/1970	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Adulto/Casado
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: Y. Garcia
Data Entry: K. Aleman