Pancho - GAR-ADR-83

Code: GAR-ADR-83
Mercy ID: V-00347-01
Encounter Date: 11/28/2000
Last: Garcia
First: Adriana
DOB: 07/21/1983
County: Fulton
Street: 180 Jackson St.
City: Atlanta
State: GA

Zip

30312-

Home

(404) 522-4721

Family Status

Adult coupie-no 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: 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