Pancho - TEL-MAR-71

Code: TEL-MAR-71
Mercy ID: V-00851-01
Encounter Date: 01/18/2002
Last: Tello
First: Maricela
DOB: 08/23/1971
County: Dekalb
Street: 3171 Peachtree Creek Apt. F
City: Buford
State: GA

Zip

30329-

Home

(404) 320-6133

Family Status

Single adult

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: K. Aleman