Pancho - TEL-LIZ-84

Code: TEL-LIZ-84
Mercy ID: V-00351-01
Encounter Date: 11/27/2000
Last: Telles
First: Lizbeth
DOB: 11/03/1984
County: Fulton
Street: 367 East Places Ferry Rd
City: Atlanta
State: GA

Zip

30305-

Home

(404) 841-9919

Family Status

Two parent family w/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: 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: D. Gomez