Pancho - KRI-MAR-54

Code: KRI-MAR-54
Mercy ID: V-00161-01
Encounter Date: 03/20/2000
Last: Krieger
First: Maria isabel
DOB: 02/27/1954
County: Other
Street: 3450 Straberies Ln
City: Cummins
State: GA

Zip

30041-

Home

(770) 450-1866

Family Status

Single adult

COB

Brazil

Gender

Female

Housing

Other

Education Level

College Degree

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. Manzo
Data Entry: D. Gomez