Pancho - ARB-ANA-71

Code: ARB-ANA-71
Mercy ID: V-00803-01
Encounter Date: 01/04/2002
Last: Arbizu
First: Ana
DOB: 12/09/1971
County: Dekalb
Street: 3600 Shallowford Rd. C-4
City: Chamblee
State: GA

Zip

30341-

Home

(770) 216-1255

Family Status

Two parent family w/children

COB

Honduras

Gender

Female

Housing

Not Homeless

Education Level

Grade 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: 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