Pancho - MUJ-ANG-77

Code: MUJ-ANG-77
Mercy ID: V-01425-01
Encounter Date: 11/25/2003
Last: Mujica
First: Angelina
DOB: 12/27/1977
County: Fulton
Street: 1717 Central Village Apt A38
City: Atlanta
State: GA

Zip

30311-

Home

(678) 725-3282

Family Status

Adult coupie-no children

COB

Mexico

Gender

Female

Housing

Not Homeless

Education Level

Grade school

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: 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