Pancho - PEÑ-LOR-70

Code: PEÑ-LOR-70
Mercy ID: V-02647-01
Encounter Date: 11/01/2007
Last: Peña
First: Lorena
DOB: 04/18/1970
County: Fulton
Street: 2598 Skyline St
City: Atlanta
State: GA

Zip

30312-

Cell

(770) 979-8136

Family Status

Single adult

COB

Mexico

Gender

Female

Housing

Transitional

Education Level

some high 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: G. Landeros
Data Entry: J. Manzo