Pancho - SAR-ANA-73

Code: SAR-ANA-73
Mercy ID: V-00468-01
Encounter Date: 04/09/2001
Last: Saralegui
First: Anali
DOB: 10/15/1973
County: Gwinnett
Street: 2360 millwood
City: Duluth
State: GA

Zip

30096-

Home

(770) 447-0257

Family Status

Adult coupie-no children

COB

Uruguay

Gender

Female

Housing

Doubling Up

Education Level

Some College

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