Pancho - GUZ-KEN-79

Code: GUZ-KEN-79
Mercy ID: V-02001-01
Encounter Date: 08/10/2005
Last: Guzman
First: Kenia
DOB: 08/25/1979
County: Cobb
Street: 2997 Fetlock Dr.
City: Marietta
State: GA

Zip

30064-

Cell

(678) 467-5066

Family Status

Adult coupie-no children

COB

El Salvador

Gender

Female

Housing

Not Homeless

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: 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