Pancho - ARA-MAR-55

Code: ARA-MAR-55
Mercy ID: V-01338-01
Encounter Date: 08/27/2003
Last: Araujo
First: Maria
DOB: 04/07/1955
County: Other
Street: 10107 Collin Wood Lane
City: Alpharetta
State: GA

Zip

30022-

Home

(678) 319-4387

Family Status

Single parent w/children

COB

Mexico

Gender

Female

Housing

Not Homeless

Education Level

Some College

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: 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