Pancho - GUE-DEL-75

Code: GUE-DEL-75
Mercy ID: V-02791-01
Encounter Date: 05/22/2008
Last: Guerrero
First: Delfina
DOB: 03/16/1975
County: Atkinson
Street: 11 Morning Circle
City: Pearson
State: GA

Zip

31642-

Home

(912) 309-2123

Family Status

Two parent family w/children

COB

Mexico

Gender

Female

Housing

Single Family

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: 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. Perez
Data Entry: J. Manzo