Pancho - HER-YES-76

Code: HER-YES-76
Mercy ID: V-02293-01
Encounter Date: 08/08/2006
Last: Hernandez
First: Yesenia
DOB: 10/10/1976
County: Cherokee
Street: 2234 Hearthstone Lanving Dr.
City: Canton
State: GA

Zip

30114-

Cell

(404) 512-7464

Family Status

Single parent w/children

COB

El Salvador

Gender

Female

Housing

Single Family

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: YES
Limitado Educativo: No
Limitado Impresos: No
Limitado Caminar Latino: No

Intake: G. Landeros
Data Entry: J. Manzo