Pancho - PRA-CAR-79

Code: PRA-CAR-79
Mercy ID: V-00260-01
Encounter Date: 08/03/2000
Last: Prado
First: Carla
DOB: 09/01/1979
County: Fulton
Street: #2 long
City: East point
State: GA

Zip

30344-

Home

(404) 689-9637

Family Status

Adult coupie-no 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: D. Gomez