Pancho - HER-FLO-83

Code: HER-FLO-83
Mercy ID: V-00437-01
Encounter Date: 02/21/2001
Last: Hernandez
First: Flor
DOB: 09/10/1983
County: Dekalb
Street: 2300 Ashley Oak Apt D
City: Atlanta
State: GA

Zip

30345-

Home

(404) 315-6912

Family Status

Single adult

COB

Guatemala

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. Manzo
Data Entry: D. Gomez