Pancho - TRA-MAR-80

Code: TRA-MAR-80
Mercy ID: V-02400-01
Encounter Date: 01/26/2007
Last: Transito
First: Maria
DOB: 07/14/1980
County: Dekalb
Street: 4526 Chamblee Tucker Rd.
City: Chamblee
State: GA

Zip

30341-

Home

(404) 245-3618

Family Status

Adult coupie-no children

COB

El Salvador

Gender

Female

Housing

Doubling Up

Education Level

Grade school

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: G. Landeros
Data Entry: J. Manzo