Pancho - SOL-YOL-75

Code: SOL-YOL-75
Mercy ID: V-03206-01
Encounter Date: 11/04/2009
Last: Solis
First: Yolanda
DOB: 07/29/1975
County: Clayton
Street: 1147 Evans Drive
City: Riverdale
State: GA

Zip

30296-

Home

(678) 519-4731

Cell

(678) 849-7615

Family Status

Two parent family w/children

COB

Mexico

Gender

Female

Housing

Single Family

Education Level

High school graduate

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