Pancho - GAR-LAU-81

Code: GAR-LAU-81
Mercy ID: V-02279-01
Encounter Date: 06/26/2006
Last: Garcia avila
First: Laura alicia
DOB: 11/02/1981
County: Cobb
Street: 500 William Dr
City: Marietta
State: GA

Zip

30066-

Cell

(678) 933-7559

Family Status

Single parent w/children

COB

Mexico

Gender

Female

Housing

Doubling Up

Education Level

some high 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