Pancho - CAS-NOR-81

Code: CAS-NOR-81
Mercy ID: V-01406-01
Encounter Date: 11/05/2003
Last: Castillo
First: Norma
DOB: 12/14/1981
County: Dekalb
Street: 1385 Bufford Hwy N. Cliff Apt
City: Atlanta
State: GA

Zip

30319-

Home

(404) 986-0295

Family Status

Adult coupie-no children

COB

Mexico

Gender

Female

Housing

Doubling Up

Education Level

High school graduate

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: K. Aleman