Pancho - YAÑ-ANT-79

Code: YAÑ-ANT-79
Mercy ID: V-00425-01
Encounter Date: 02/12/2001
Last: Yañez
First: Maria antonia
DOB: 02/02/1979
County: Gwinnett
Street: 5830 buford hwy
City: Norcross
State: GA

Zip

00000-

Home

(770) 449-8939

Family Status

Two parent family w/children

COB

Mexico

Gender

Female

Housing

Doubling Up

Education Level

High school graduate

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