Pancho - GUZ-CIT-82

Code: GUZ-CIT-82
Mercy ID: V-01874-01
Encounter Date: 03/28/2005
Last: Guzman
First: Citlale
DOB: 12/26/1982
County: Fulton
Street: 2602 Dhe Valley
City: Atlanta
State: GA

Zip

30328-

Home

(678) 508-7651

Family Status

Adult coupie-no 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: YES
Relative: No
Stranger: YES
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