Pancho - KEN-LIA-73

Code: KEN-LIA-73
Mercy ID: V-02759-01
Encounter Date: 04/08/2008
Last: Kenia
First: Lia
DOB: 06/18/1973
County: Dekalb
Street: 5986 Chamblee Road #307
City: Chamblee
State: GA

Zip

30341-

Home

(770) 983-7753

Family Status

Adult couple-no children

COB

Dominican Rep

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: G. Landeros
Data Entry: J. Manzo