Pancho - NOY-RAQ-75

Code: NOY-RAQ-75
Mercy ID: V-00247-01
Encounter Date: 07/05/2000
Last: Noyola
First: Raquel
DOB: 03/03/1974
County: Fulton
Street: 2127 Vineyard Walk
City: Atlanta
State: GA

Zip

30316-

Cell

(404) 453-7140

Family Status

Two parent family w/children

COB

Mexico

Gender

Female

Housing

Single Family

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: 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: D. Gomez