Pancho - REE-REB-74

Code: REE-REB-74
Mercy ID: V-01198-01
Encounter Date: 04/24/2003
Last: Reeves
First: Rebeca
DOB: 07/07/1974
County: Other
Street: 1601 Peachtree Station Circle
City: Peachtree city
State: GA

Zip

30269-

Home

(000) 000-0000

Family Status

Single parent w/children

COB

USA

Gender

Female

Housing

Not Homeless

Education Level

High school graduate

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: 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