Pancho - MOR-CRI-77

Code: MOR-CRI-77
Mercy ID: V-02213-01
Encounter Date: 03/15/2006
Last: Morales
First: Cristina
DOB: 11/15/1977
County: Other
Street: not given
City: Not given
State: GA

Zip

00000-

Home

(678) 476-0873

Family Status

Single parent w/children

COB

Guatemala

Gender

Female

Housing

Shelter

Education Level

Grade 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