Pancho - ALV-MAR-63

Code: ALV-MAR-63
Mercy ID: V-02056-01
Encounter Date: 09/06/2005
Last: Alvarado
First: Maria
DOB: 04/05/1963
County: Cobb
Street: 750 Franklin Rd. #9F
City: Marrietta
State: GA

Zip

30067-

Cell

(678) 354-1460

Family Status

Two parent family w/children

COB

Mexico

Gender

Female

Housing

Not Homeless

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: 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: G. Landeros
Data Entry: R. Gonzalez