Pancho - MAR-CEC-70

Code: MAR-CEC-70
Mercy ID: V-02646-01
Encounter Date: 11/09/2007
Last: Marquez
First: Cecilia
DOB: 07/16/1970
County: Fulton
Street: 2115 Main Street
City: Atlanta
State: GA

Zip

30318-

Cell

(404) 799-7821

Family Status

Adult couple-no children

COB

Mexico

Gender

Female

Housing

Not Homeless

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: G. Landeros
Data Entry: J. Manzo