Pancho - PEÑ-YES-82

Code: PEÑ-YES-82
Mercy ID: V-00739-01
Encounter Date: 11/06/2001
Last: Peña
First: Yessenia
DOB: 04/08/1982
County: Fulton
Street: 2473 Edwards Dr.
City: Atlanta
State: GA

Zip

30318-

Home

(404) 794-7782

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: K. Aleman