Pancho - CUE-EST-76

Code: CUE-EST-76
Mercy ID: V-00275-01
Encounter Date: 08/30/2000
Last: Cuellar
First: Estela
DOB: 01/01/1976
County: Dekalb
Street: 3630 Shallowford Rd. Apt. h-5
City: Doraville
State: GA

Zip

30340-

Home

(770) 455-3396

Family Status

Two parent family w/children

COB

Mexico

Gender

Female

Housing

Doubling Up

Education Level

some high 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: Y. Garcia