Pancho - ARR-ALI-58

Code: ARR-ALI-58
Mercy ID: B-00007-01
Encounter Date: 04/07/1997
Last: Arredondo
First: Alicia
DOB: 03/09/1958
County: Not given
Street: 2150 Peachford Rd. Suite M
City: Atlanta
State: GA

Zip

30338-

Home

(770) 410-9995

Family Status

Unknow/Unreported

COB

Mexico

Gender

Female

Housing

Other

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