Pancho - DIA-ORI-77

Code: DIA-ORI-77
Mercy ID: V-01590-01
Encounter Date: 05/06/2004
Last: Diaz
First: Oriana
DOB: 01/17/1977
County: Fulton
Street: 12425 Stevens Creek Dr.
City: Alpharetta
State: GA

Zip

30005-

Home

(770) 521-6646

Family Status

Single adult

COB

Mexico

Gender

Female

Housing

Doubling Up

Education Level

College Degree

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