Pancho - LOR-DAR-89

Code: LOR-DAR-89
Mercy ID: V-02907-01
Encounter Date: 10/08/2008
Last: Lorenzo
First: Darleen
DOB: 11/16/1989
County: Fulton
Street: 66 Northwood Road
City: Sandy springs
State: GA

Zip

30342-

Cell

(787) 930-6320

Family Status

Adult couple-no children

COB

Puerto Rico

Gender

Female

Housing

Doubling Up

Education Level

High school graduate

Home Owner

YES

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: G. Landeros
Data Entry: J. Manzo