Pancho - PAT-OFE-69

Code: PAT-OFE-69
Mercy ID: V-02242-01
Encounter Date: 05/01/2006
Last: Patiño
First: Ofelia
DOB: 05/23/1969
County: Dekalb
Street: 3322 Lansbury Village Dr Apt-5
City: Atlanta
State: GA

Zip

30341-

Cell

(770) 934-2833

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: R. Gonzalez