Pancho - ORO-HOR-67

Code: ORO-HOR-67
Mercy ID: V-01053-01
Encounter Date: 12/10/2002
Last: Orozco
First: Horalia
DOB: 12/15/1967
County: Dekalb
Street: 10 Chactfield Dr. Apt. E
City: Stone mountain
State: GA

Zip

30083-

Home

(678) 476-0164

Family Status

Two parent family w/children

COB

Mexico

Gender

Female

Housing

Not Homeless

Education Level

Vocational/Technical

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