Pancho - CAN-MAR-71

Code: CAN-MAR-71
Mercy ID: V-02231-01
Encounter Date: 04/28/2006
Last: Canas
First: Margarita
DOB: 10/28/1971
County: Cherokee
Street: 10007 Travis Cr
City: Woodstock
State: GA

Zip

30188-

Home

(404) 918-7443

Family Status

Two parent family w/children

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