Pancho - SAL-MAR-70

Code: SAL-MAR-70
Mercy ID: V-02217-01
Encounter Date: 03/30/2006
Last: Salinas
First: Maria eugenia
DOB: 03/19/1970
County: Dekalb
Street: 1337 North Valley Way
City: Atlanta
State: GA

Zip

30340-

Home

(404) 486-8767

Family Status

Two parent family w/children

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: J. Perez
Data Entry: R. Gonzalez