Pancho - COR-PAU-78

Code: COR-PAU-78
Mercy ID: V-00988-01
Encounter Date: 08/06/2002
Last: Correa
First: Paula
DOB: 07/04/1978
County: Fulton
Street: 3432 Piedmont Rd.
City: Atlanta
State: GA

Zip

30305-

Home

(678) 305-0122

Family Status

Adult coupie-no children

COB

Colombia

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: 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