Pancho - LAR-LAU-01

Code: LAR-LAU-01
Mercy ID: V-00375-01
Encounter Date: 12/29/2000
Last: Larraga
First: Laura
DOB: 11/21/1974
County: Dekalb
Street: 7062 royers lake rd apt 42
City: Lithonia
State: GA

Zip

30058-

Home

(770) 484-5583

Family Status

Two parent family w/children

COB

Mexico

Gender

Female

Housing

Doubling Up

Education Level

Vocational/Technical

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: S. Aviña