Pancho - ALV-MAR-62

Code: ALV-MAR-62
Mercy ID: V-01859-01
Encounter Date: 03/22/2005
Last: Alvarez
First: Maria del carmen
DOB: 07/15/1962
County: Dekalb
Street: 413 Winter Creek Dr.
City: Doraville
State: GA

Zip

30360-

Home

(770) 797-9951

Family Status

Single parent w/children

COB

Mexico

Gender

Female

Housing

Not Homeless

Education Level

Preschool

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: G. Landeros
Data Entry: K. Aleman