Pancho - SAN-GRA-81

Code: SAN-GRA-81
Mercy ID: V-00152-01
Encounter Date: 03/28/2000
Last: Santivañes
First: Graciela
DOB: 04/16/1981
County: Fulton
Street: 2255 Lenox Rd Apt-D-12
City: Atlanta
State: GA

Zip

30319-

Home

(404) 728-1939

Family Status

Two parent family w/children

COB

Mexico

Gender

Female

Housing

Doubling Up

Education Level

Grade 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: 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: D. Gomez