Pancho - MOR-KAR-83

Code: MOR-KAR-83
Mercy ID: V-02918-01
Encounter Date: 10/27/2008
Last: Morales
First: Karina
DOB: 01/16/1983
County: Dekalb
Street: 3610 Buford Hwy C-3
City: Atlanta
State: GA

Zip

30329-

Cell

(404) 671-6318

Family Status

Single parent w/children

COB

Guatemala

Gender

Female

Housing

Other

Education Level

Other

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