Pancho - MOR-GRA-76

Code: MOR-GRA-76
Mercy ID: V-00395-01
Encounter Date: 01/24/2001
Last: Moran
First: Graciela
DOB: 05/08/1976
County: Dekalb
Street: 3549 apt-b Plasantdale
City: Doraville
State: GA

Zip

30340-

Home

(678) 380-0971

Family Status

Single adult

COB

Argentina

Gender

Female

Housing

Doubling Up

Education Level

Grade 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: 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: D. Gomez