Pancho - ARA-ALM-78

Code: ARA-ALM-78
Mercy ID: V-01803-01
Encounter Date: 01/10/2005
Last: Araus
First: Alma
DOB: 07/07/1978
County: Henry
Street: N/A
City: Stockbridge
State: GA

Zip

00000-0000

Home

(678) 565-8796

Family Status

Two parent family w/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: 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