Pancho - GUE-HER-83

Code: GUE-HER-83
Mercy ID: V-02168-01
Encounter Date: 12/30/2005
Last: Guerra
First: Herminia isabel
DOB: 08/12/1983
County: Cobb
Street: Frankling
City: Marietta
State: GA

Zip

00000-

Cell

(770) 873-6852

Family Status

Two parent family w/children

COB

El Salvador

Gender

Female

Housing

Doubling Up

Education Level

some high school

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: J. Manzo
Data Entry: R. Gonzalez