Pancho - SAL-OLI-65

Code: SAL-OLI-65
Mercy ID: V-00364-01
Encounter Date: 12/01/2000
Last: Saldivar
First: Oliva
DOB: 06/25/1966
County: Fulton
Street: 1372 Grand Creek Dr.
City: Roswell
State: GA

Zip

30076-

Home

(770) 587-5191

Family Status

Two parent family w/children

COB

Mexico

Gender

Female

Housing

Doubling Up

Education Level

College Degree

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. Manzo
Data Entry: D. Gomez