Pancho - LAM-PEG-47

Code: LAM-PEG-47
Mercy ID: V-00393-01
Encounter Date: 01/23/2001
Last: Lambert
First: Peggy
DOB: 05/31/1947
County: Fulton
Street: 6900 Roswell Rd H-4
City: Atlanta
State: GA

Zip

30328-

Home

(770) 522-9320

Cell

(678) 378-7672

Family Status

Adult coupie-no children

COB

USA

Gender

Female

Housing

Doubling Up

Education Level

Some College

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: 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: D. Gomez