Pancho - OCA-ANA-73

Code: OCA-ANA-73
Mercy ID: V-00908-01
Encounter Date: 04/26/2002
Last: Ocampo
First: Ana beatriz
DOB: 04/23/1973
County: Gwinnett
Street: 1435 Boggs Rd Apt 2606
City: Duluth
State: GA

Zip

30096-

Home

(678) 598-8582

Family Status

Two parent family w/children

COB

Colombia

Gender

Female

Housing

Not Homeless

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: 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