Pancho - LLA-ANA-86

Code: LLA-ANA-86
Mercy ID: V-01097-01
Encounter Date: 01/24/2003
Last: Llamas
First: Ana maria
DOB: 11/04/1986
County: Cobb
Street: 2560 Delk Rd.
City: Marietta
State: GA

Zip

30067-

Home

(678) 361-2327

Family Status

Two parent family w/children

COB

Mexico

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: YES
Relative: YES
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: K. Aleman
Data Entry: K. Aleman