Pancho - MOR-KRN-84

Code: MOR-KRN-84
Mercy ID: V-02991-01
Encounter Date: 01/23/2009
Last: Moreno
First: Karen
DOB: 08/04/1983
County: Dekalb
Street: 3630 Shallowford Rd. # K-3
City: Doraville
State: GA

Zip

30340-

Cell

(678) 296-4947

Family Status

Single parent w/children

COB

El Salvador

Gender

Female

Housing

Doubling Up

Education Level

Grade school

Home Owner

YES

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