Pancho - ORT-MAR-70

Code: ORT-MAR-70
Mercy ID: V-00422-01
Encounter Date: 02/27/2001
Last: Ortiz
First: Maria guadalupe
DOB: 10/18/1970
County: Dekalb
Street: 3510 buford hwy apt-u14
City: Atlanta
State: GA

Zip

30329-

Home

(404) 320-7479

Family Status

Single parent w/children

COB

El Salvador

Gender

Female

Housing

Doubling Up

Education Level

Adult, no formal education

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: S. Aviña