Pancho - DEL-MAR-73

Code: DEL-MAR-73
Mercy ID: V-02798-01
Encounter Date: 05/23/2008
Last: De la llave
First: Maria cristina
DOB: 04/07/1973
County: Rockdale
Street: 425 Forest Park St.
City: Conyers
State: GA

Zip

30012-

Home

(678) 548-2690

Family Status

Adult couple-no children

COB

Mexico

Gender

Female

Housing

Doubling Up

Education Level

High school graduate

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