Pancho - SAN-ZUL-70

Code: SAN-ZUL-70
Mercy ID: V-00913-01
Encounter Date: 04/24/2002
Last: Sanchez
First: Zulma
DOB: 10/13/1970
County: Dekalb
Street: 1853 Fellowship Rd. #A
City: Tucker
State: GA

Zip

30084-

Home

(770) 621-9399

Family Status

Two parent family w/children

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. Manzo
Data Entry: K. Aleman