Pancho - YOU-LEL-58

Code: YOU-LEL-58
Mercy ID: V-02228-01
Encounter Date: 04/18/2006
Last: Younes
First: Lely
DOB: 07/11/1958
County: Other
Street: 2520 Marron Rd. # 302
City: Carlbad
State: CA

Zip

92010-

Cell

(760) 583-8201

Family Status

Single adult

COB

Colombia

Gender

Female

Housing

Doubling Up

Education Level

College Degree

Home Owner

YES

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