Pancho - AGU-YOL-62

Code: AGU-YOL-62
Mercy ID: V-01020-01
Encounter Date: 10/21/2002
Last: Aguilar
First: Yolanda
DOB: 12/28/1962
County: Fulton
Street: 105 Greenhouse Pwy
City: Alplharetta
State: GA

Zip

30022-

Home

(770) 645-0838

Family Status

Single adult

COB

Mexico

Gender

Female

Housing

Doubling Up

Education Level

some high school

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: YES
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