Pancho - RAM-ANA-68

Code: RAM-ANA-68
Mercy ID: V-00918-01
Encounter Date: 04/30/2002
Last: Ramirez
First: Ana maria
DOB: 07/29/1968
County: Gwinnett
Street: 2583 Wind Dr.
City: Norcross
State: GA

Zip

30071-

Home

(770) 256-4637

Cell

(770) 256-4637

Family Status

Two parent family w/children

COB

Mexico

Gender

Female

Housing

Doubling Up

Education Level

some high 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. Perez
Data Entry: K. Aleman