Pancho - ROJ-ARA-69

Code: ROJ-ARA-69
Mercy ID: V-01815-01
Encounter Date: 01/18/2005
Last: Rojano
First: Araceli
DOB: 10/25/1969
County: Cobb
Street: 249 WILLER
City: Kennesaw
State: GA

Zip

30152-

Home

(678) 508-1078

Family Status

Single parent 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: 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