Pancho - ZOL-NOR-74

Code: ZOL-NOR-74
Mercy ID: V-01758-01
Encounter Date: 11/17/2004
Last: Zolorzano
First: Norma
DOB: 03/01/1974
County: Dekalb
Street: 3170 Darlington Oak Dr.
City: Doraville
State: GA

Zip

30340-

Home

(770) 263-6422

Family Status

Two parent family w/children

COB

Mexico

Gender

Female

Housing

Doubling Up

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. Perez
Data Entry: K. Aleman