Pancho - OCH-MAR-63

Code: OCH-MAR-63
Mercy ID: V-01281-01
Encounter Date: 07/11/2003
Last: Ochoa
First: Maribel
DOB: 07/09/1963
County: Other
Street: 67 Roany Rd.
City: Rome
State: GA

Zip

30165-

Home

(706) 235-9229

Family Status

Two parent family w/children

COB

Mexico

Gender

Female

Housing

Not Homeless

Education Level

Vocational/Technical

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. Perez
Data Entry: K. Aleman