Pancho - ORE-ANA-70

Code: ORE-ANA-70
Mercy ID: V-00778-01
Encounter Date: 12/19/2001
Last: Orellana
First: Ana
DOB: 10/10/1970
County: Dekalb
Street: 2859 Pine Terrace Apt. 2
City: Atlanta
State: GA

Zip

30319-

Home

(404) 264-0676

Family Status

Two parent family w/children

COB

El Salvador

Gender

Female

Housing

Not Homeless

Education Level

some high school

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. Perez
Data Entry: K. Aleman