Pancho - ARB-VIC-46

Code: ARB-VIC-46
Mercy ID: B-00003-01
Encounter Date: 06/15/1999
Last: Arbelaez
First: Vickie
DOB: 09/03/1946
County: Not given
Street: P.O. Box 2037
City: Austell
State: GA

Zip

30126-

Home

(404) 376-6271

Family Status

Two parent family w/children

COB

Mexico

Gender

Female

Housing

Not Homeless

Education Level

College Degree

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