Pancho - BET-LYN-59

Code: BET-LYN-59
Mercy ID: B-00048-01
Encounter Date: 05/21/1998
Last: Betancourt
First: Lynnette
DOB: 06/05/1959
County: Other
Street: 4391 Highland
City: Decatur
State: GA

Zip

30035-

Home

(404) 286-4021

Family Status

Unknow/Unreported

COB

Puerto Rico

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. Manzo
Data Entry: K. Aleman