Pancho - DEA-MAR-81

Code: DEA-MAR-81
Mercy ID: V-02924-01
Encounter Date: 10/24/1981
Last: De anda
First: Maria de la luz
DOB: 06/03/1981
County: Gwinnett
Street: 878 Green Hill Lane # A
City: Norcross
State: GA

Zip

30093-

Cell

(404) 567-2683

Family Status

Single parent w/children

COB

Mexico

Gender

Female

Housing

Doubling Up

Education Level

Preschool

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