Pancho - MEJ-MAR-81

Code: MEJ-MAR-81
Mercy ID: V-03531-01
Encounter Date: 02/22/2011
Last: Mejia
First: Maria del rosario
DOB: 10/08/1981
County: Dekalb
Street: 3460 Buford wy. Apt. M-3
City: Atlanta
State: GA

Zip

30329-

Cell

(678) 964-0237

Family Status

Two parent family w/children

COB

Mexico

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: 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: J. Perez
Data Entry: J. Manzo