Pancho - ALF-ELI-79

Code: ALF-ELI-79
Mercy ID: V-02077-01
Encounter Date: 12/10/2005
Last: Alfaro
First: Elizabeth
DOB: 07/31/1979
County: Dekalb
Street: not given
City: Atlanta
State: GA

Zip

30341-

Home

(404) 454-0062

Family Status

Single parent w/children

COB

USA

Gender

Female

Housing

Other

Education Level

Other

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: R. Gonzalez