Pancho - ABR-DAY-66

Code: ABR-DAY-66
Mercy ID: V-00194-01
Encounter Date: 04/26/2000
Last: Abreu
First: Daisy
DOB: 10/04/1966
County: Fulton
Street: 6995 Roswell Rd. Apt. E
City: Atlanta
State: GA

Zip

30328-

Home

(770) 698-9861

Family Status

Two parent family w/children

COB

Dominican Rep

Gender

Female

Housing

Doubling Up

Education Level

Grade school

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: 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: D. Gomez