Pancho - BAR-MAR-79

Code: BAR-MAR-79
Mercy ID: V-03086-01
Encounter Date: 06/04/2009
Last: Barragan
First: Maria ignacia
DOB: 07/31/1979
County: Cobb
Street: 5447 Helen Place
City: Mableton
State: GA

Zip

30126-

Cell

(770) 771-1020

Family Status

Two parent family w/children

COB

Mexico

Gender

Female

Housing

Single Family

Education Level

Grade 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: 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: J. Perez
Data Entry: J. Manzo