Pancho - ALT-GUA-86

Code: ALT-GUA-86
Mercy ID: V-02259-01
Encounter Date: 05/30/2006
Last: Altamarino
First: Guadalupe
DOB: 12/12/1986
County: Cobb
Street: 3700 Buford Hwy
City: Atlanta
State: GA

Zip

30329-

Home

(678) 891-7657

Family Status

Two parent family w/children

COB

Mexico

Gender

Female

Housing

Not Homeless

Education Level

Preschool

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