Pancho - SIL-MAR-80

Code: SIL-MAR-80
Mercy ID: V-00850-01
Encounter Date: 02/26/2002
Last: Silva
First: Maria de la luz
DOB: 11/23/1980
County: Other
Street: 2862 Hillwood Terrace NE Apt. 1
City: Atlanta
State: GA

Zip

30319-

Home

(404) 846-9372

Family Status

Two parent family w/children

COB

Mexico

Gender

Female

Housing

Doubling Up

Education Level

Vocational/Technical

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. Perez
Data Entry: K. Aleman