Pancho - GUL-BAR-77

Code: GUL-BAR-77
Mercy ID: V-03038-01
Encounter Date: 03/31/2009
Last: Gulhamid
First: Barbara
DOB: 12/11/1977
County: Dekalb
Street: 3317 Chamblee Tucker Road #-6
City: Chamblee
State: GA

Zip

30340-

Cell

(678) 531-7258

Family Status

Two parent family w/children

COB

USA

Gender

Female

Housing

Single Family

Education Level

High school graduate

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