Pancho - PUO-MAR-75

Code: PUO-MAR-75
Mercy ID: V-02937-01
Encounter Date: 11/07/2008
Last: Puon
First: Maria
DOB: 03/09/1975
County: Clayton
Street: 219 Marques Way
City: Morrow
State: GA

Zip

30260-

Cell

(404) 798-9824

Family Status

Adult couple-no children

COB

Mexico

Gender

Female

Housing

Single Family

Education Level

some high 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