Pancho - DEV-MAR-77

Code: DEV-MAR-77
Mercy ID: V-02347-01
Encounter Date: 11/08/2006
Last: Devanna
First: Maria eugenia
DOB: 05/16/1977
County: Other
Street: 501 Telham Dr.
City: Columbia
State: SC

Zip

30305-

Cell

(678) 984-7873

Family Status

Single adult

COB

Argentina

Gender

Female

Housing

Single Family

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: 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: J. Perez
Data Entry: J. Manzo