Pancho - ARE-MAR-71

Code: ARE-MAR-71
Mercy ID: V-00003-01
Encounter Date: 01/18/2000
Last: Arellano
First: Maria
DOB: 08/06/1971
County: Fulton
Street: 3619 s.fulton ave.
City: Hadenville
State: GA

Zip

30354-

Home

(404) 761-6127

Family Status

Two parent family w/children

COB

Mexico

Gender

Female

Housing

Doubling Up

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. Manzo
Data Entry: S. Aviña