Pancho - GAR-MAR-76

Code: GAR-MAR-76
Mercy ID: V-02180-01
Encounter Date: 02/21/2006
Last: Garcia
First: Maricela
DOB: 05/30/1976
County: Cherokee
Street: 5634 Tayson Drive
City: Acworth
State: GA

Zip

30102-

Cell

(678) 401-7342

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: 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