Pancho - SAL-SOC-81

Code: SAL-SOC-81
Mercy ID: V-02272-01
Encounter Date: 06/14/2006
Last: Salgado
First: Socorro
DOB: 01/03/1981
County: Dekalb
Street: 3554 Shallowford #D4
City: Chamblee
State: GA

Zip

30341-

Home

(770) 457-8338

Family Status

Two parent family 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