Pancho - VAC-LIN-91

Code: VAC-LIN-91
Mercy ID: A-00006-01
Encounter Date: 12/06/2010
Last: Vaca
First: Linda
DOB: 08/03/1991
County: Dekalb
Street: 2547 Pilgrim West # B
City: Atlanta
State: GA

Zip

30345-

Cell

(678) 437-2290

Family Status

Single parent w/children

COB

Mexico

Gender

Female

Housing

Doubling Up

Education Level

High school graduate

Home Owner

YES

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