Pancho - ALM-LOR-76

Code: ALM-LOR-76
Mercy ID: B-00038-01
Encounter Date: 10/07/1998
Last: Almazan
First: Lorena
DOB: 02/26/1976
County: Dekalb
Street: 3200 Buford Hwy Apt 51
City: Atlanta
State: GA

Zip

30329-

Home

(404) 321-5296

Family Status

Two parent family w/children

COB

Mexico

Gender

Female

Housing

Other

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: 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: J. Manzo
Data Entry: K. Aleman