Pancho - ESC-GRA-58

Code: ESC-GRA-58
Mercy ID: V-00305-01
Encounter Date: 10/02/2000
Last: Escobar
First: Graciela
DOB: 01/31/1958
County: Fulton
Street: 1458 norman berry
City: Atlanta
State: GA

Zip

30334-

Home

(404) 766-2440

Family Status

Two parent family w/children

COB

Mexico

Gender

Female

Housing

Doubling Up

Education Level

Grade 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: S. Aviña