Pancho - CAÑ-CLA-74

Code: CAÑ-CLA-74
Mercy ID: V-02281-01
Encounter Date: 07/17/2006
Last: Caña
First: Claudia
DOB: 08/19/1974
County: Cobb
Street: 1805 Roswell St. # 23-A
City: Marietta
State: GA

Zip

30060-

Home

(770) 896-1096

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: J. Manzo