Pancho - GUE-SAL-56

Code: GUE-SAL-56
Mercy ID: V-00090-02
Encounter Date: 03/13/2000
Last: Guerrero
First: Salvador
DOB: 01/06/1956
County: Fulton
Street: 1626 liberty valley
City: Dekatur
State: GA

Zip

30032-

Home

(404) 286-6103

Family Status

Two parent family w/children

COB

Mexico

Gender

Male

Housing

Doubling Up

Education Level

College Degree

Home Owner

YES

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: R. Miranda
Data Entry: S. Aviña