Pancho - COR-DAI-82

Code: COR-DAI-82
Mercy ID: V-00087-01
Encounter Date: 02/21/2000
Last: Coronado
First: Daisy
DOB: 06/25/1982
County: Fulton
Street: 2044 down ln nw
City: Atlanta
State: GA

Zip

30318-

Home

(404) 355-4089

Family Status

Single adult

COB

Mexico

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: 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: D. Gomez