Pancho - LOB-ARA-81

Code: LOB-ARA-81
Mercy ID: V-02244-01
Encounter Date: 05/05/2006
Last: Lobo
First: Araceli
DOB: 04/29/1981
County: Clayton
Street: 7677 Tara Blv #24
City: Jose
State: GA

Zip

30326-

Home

(404) 875-4243

Family Status

Single parent w/children

COB

USA

Gender

Female

Housing

Not Homeless

Education Level

Other

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: G. Landeros
Data Entry: R. Gonzalez