Pancho - DEP-CEC-82

Code: DEP-CEC-82
Mercy ID: V-02579-01
Encounter Date: 08/29/2007
Last: De paz
First: Cecilia
DOB: 02/24/1982
County: Dekalb
Street: 110 High Court Pl. Apt. 8-K
City: Decatur
State: GA

Zip

30032-

Cell

(678) 531-5683

Family Status

Two parent family w/children

COB

Mexico

Gender

Female

Housing

Not Homeless

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: 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: G. Landeros
Data Entry: J. Manzo