Pancho - FRA-YOL-75

Code: FRA-YOL-75
Mercy ID: V-01576-01
Encounter Date: 04/14/2004
Last: Franco
First: Yolanda
DOB: 06/22/1975
County: Fulton
Street: 100 Channel Chase Dr.
City: Fairburn
State: GA

Zip

30213-

Home

(770) 306-2950

Cell

(404) 218-8786

Family Status

Two parent family w/children

COB

Mexico

Gender

Female

Housing

Not Homeless

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: 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: R. Miranda