Pancho - CAB-HER-81

Code: CAB-HER-81
Mercy ID: V-02188-01
Encounter Date: 03/02/2006
Last: Cabello
First: Hernestina
DOB: 11/13/1981
County: Fulton
Street: not given
City: Atlanta
State: GA

Zip

30318-

Home

(404) 351-3623

Family Status

Single parent w/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: 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