Pancho - URI-MAR-68

Code: URI-MAR-68
Mercy ID: V-02229-01
Encounter Date: 04/18/2006
Last: Uribe
First: Martha
DOB: 08/31/1968
County: Fulton
Street: 3200 Lenox Rd NS #C406
City: Atlanta
State: GA

Zip

30324-

Cell

(678) 360-1662

Family Status

Single adult

COB

Colombia

Gender

Female

Housing

Not Homeless

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: 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