Pancho - ENC-MON-79

Code: ENC-MON-79
Mercy ID: V-00418-01
Encounter Date: 01/02/2001
Last: Encarnacion
First: Monica
DOB: 01/03/1979
County: Dekalb
Street: 2420 johnson rd apt e
City: Atlanta
State: GA

Zip

30345-

Home

(404) 321-4793

Family Status

Single parent 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: 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: S. Aviña