Pancho - FLO-YOB-77

Code: FLO-YOB-77
Mercy ID: V-00788-01
Encounter Date: 01/08/2002
Last: Flores
First: Yobiris
DOB: 02/16/1977
County: Fulton
Street: 1109 Belco Prkway
City: Roswell
State: GA

Zip

30350-

Home

(404) 932-0630

Family Status

Single adult

COB

Venezuela

Gender

Female

Housing

Doubling Up

Education Level

College Degree

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. Manzo
Data Entry: K. Aleman