Pancho - NIE-LIZ-79

Code: NIE-LIZ-79
Mercy ID: V-02197-01
Encounter Date: 03/14/2006
Last: Nieves
First: Lisbeth
DOB: 05/17/1979
County: Dekalb
Street: 2515 Northeast Exressway K-9
City: Atlanta
State: GA

Zip

30345-

Cell

(770) 896-2291

Family Status

Two parent family w/children

COB

Mexico

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: YES
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