Pancho - CIN-EDN-74

Code: CIN-EDN-74
Mercy ID: V-02095-01
Encounter Date: 10/06/2005
Last: Cintron
First: Ednny
DOB: 02/18/1974
County: Dekalb
Street: 2013 Gables Way
City: Atlanta
State: GA

Zip

30329-

Home

(770) 369-0645

Family Status

Two parent family w/children

COB

Puerto Rico

Gender

Female

Housing

Not Homeless

Education Level

College Degree

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: G. Landeros
Data Entry: R. Gonzalez