Pancho - SAN-MAR-57

Code: SAN-MAR-57
Mercy ID: V-00090-01
Encounter Date: 03/15/2000
Last: Sanchez
First: Ariana
DOB: 04/08/1957
County: Dekalb
Street: 1636 liberty valley cir
City: Decartur
State: GA

Zip

30032-

Home

(404) 284-1326

Family Status

Single parent w/children

COB

Mexico

Gender

Female

Housing

Transitional

Education Level

Some College

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: S. Aviña