Pancho - AVI-SAI-75

Code: AVI-SAI-75
Mercy ID: B-00029-01
Encounter Date: 01/26/1998
Last: Avila
First: Saida
DOB: 11/21/1975
County: Dekalb
Street: 5082 Benttreloop
City: Stone mountain
State: GA

Zip

30083-

Home

(770) 498-8362

Family Status

Adult coupie-no children

COB

Honduras

Gender

Female

Housing

Not Homeless

Education Level

H.S. equivalency diploma

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: 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: K. Aleman