Pancho - PIN-ARA-74

Code: PIN-ARA-74
Mercy ID: V-00258-01
Encounter Date: 08/08/2000
Last: Pineda
First: Aracely
DOB: 03/22/1974
County: Clayton
Street: 685 melrose dr
City: Forest park
State: GA

Zip

30297-

Home

(404) 627-0486

Family Status

Two parent family w/children

COB

El Salvador

Gender

Female

Housing

Transitional

Education Level

Grade 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: J. Perez
Data Entry: D. Gomez