Pancho - MIR-ARM-81

Code: MIR-ARM-81
Mercy ID: V-01012-01
Encounter Date: 09/06/2002
Last: Miranda
First: Armina
DOB: 11/11/1981
County: Fulton
Street: 2520 Jonesboro Rd. Apt. A-14
City: Atlanta
State: GA

Zip

30315-

Home

(678) 886-9450

Family Status

Two parent family w/children

COB

Mexico

Gender

Female

Housing

Doubling Up

Education Level

some high school

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