Pancho - BOC-SIL-63

Code: BOC-SIL-63
Mercy ID: B-00047-01
Encounter Date: 03/04/1997
Last: Bocanegra
First: Silvia
DOB: 03/09/1963
County: Dekalb
Street: 2412 Johnson Rd.
City: Atlanta
State: GA

Zip

30345-

Home

(404) 634-1538

Family Status

Single parent w/children

COB

Mexico

Gender

Female

Housing

Other

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. Perez
Data Entry: K. Aleman