Pancho - OJE-MAR-70

Code: OJE-MAR-70
Mercy ID: V-00676-01
Encounter Date: 09/11/2001
Last: Ojera
First: Maria elena
DOB: 01/09/1970
County: Clayton
Street: 527 Georgia Ave. M-1
City: Forest park
State: GA

Zip

30297-

Home

(404) 361-1931

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: 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. Manzo
Data Entry: K. Aleman