Pancho - ALF-MAR-63

Code: ALF-MAR-63
Mercy ID: V-02330-01
Encounter Date: 09/18/2006
Last: Alfinda
First: Marjorie
DOB: 10/21/1963
County: Dekalb
Street: 3702 Pin oak Cir.
City: Atlanta
State: GA

Zip

30340-

Cell

(404) 438-6590

Family Status

Adult coupie-no children

COB

Other

Gender

Female

Housing

Other

Education Level

Some College

Home Owner

YES

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: J. Perez
Data Entry: J. Manzo