Pancho - SAN-ANA-68

Code: SAN-ANA-68
Mercy ID: V-00681-01
Encounter Date: 09/19/2001
Last: Sanchez
First: Ana
DOB: 10/04/1968
County: Gwinnett
Street: 3715 Quail Hollow Trail
City: Snellville
State: GA

Zip

30039-

Family Status

Two parent family w/children

COB

El Salvador

Gender

Female

Housing

Not Homeless

Education Level

High school graduate

Home Owner

YES

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