Pancho - CAS-KAY-72

Code: CAS-KAY-72
Mercy ID: V-01801-01
Encounter Date: 01/11/2005
Last: Castillo
First: Kyla
DOB: 04/25/1972
County: Dekalb
Street: 2782 Pontiact Cr.
City: Doraville
State: GA

Zip

30360-

Home

(678) 910-2184

Family Status

Adult coupie-no children

COB

Mexico

Gender

Female

Housing

Doubling Up

Education Level

Some College

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