Pancho - OLM-ALE-75

Code: OLM-ALE-75
Mercy ID: V-01444-01
Encounter Date: 12/16/2003
Last: Olmos
First: Alejandra
DOB: 02/17/1975
County: Fulton
Street: 132 Canton St.
City: Alpharetta
State: GA

Zip

30004-

Home

(770) 374-3518

Family Status

Single adult

COB

Mexico

Gender

Female

Housing

Not Homeless

Education Level

Vocational/Technical

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: 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