Pancho - GAR-HAY-66

Code: GAR-HAY-66
Mercy ID: V-00424-01
Encounter Date: 01/13/1999
Last: Garcia
First: Haydee
DOB: 07/11/1966
County: Dekalb
Street: 5735 Roswell Rd. Apt. 411
City: Atlanta
State: GA

Zip

30342-

Home

(404) 250-1394

Cell

(770) 986-0792

Family Status

Adult coupie-no children

COB

El Salvador

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: 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. Manzo
Data Entry: Y. Garcia