Pancho - TAD-MAR-68

Code: TAD-MAR-68
Mercy ID: V-02449-01
Encounter Date: 02/28/2007
Last: Tadeo
First: Margarita
DOB: 03/25/1968
County: Dekalb
Street: 2217 Dresden Villa # 5
City: Atlanta
State: GA

Zip

30341-

Family Status

Two parent family w/children

COB

Mexico

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: 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