Pancho - AND-ELI-79

Code: AND-ELI-79
Mercy ID: B-00031-01
Encounter Date: 06/10/1997
Last: Andrade
First: Elizabeth
DOB: 11/12/1979
County: Other
Street: not given
City: Not given
State: GA

Zip

00000-0000

Home

(770) 795-0765

Family Status

Attached youth

COB

Mexico

Gender

Female Child

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: No
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. Manzo
Data Entry: K. Aleman