Pancho - RAM-LOU-77

Code: RAM-LOU-77
Mercy ID: V-02161-01
Encounter Date: 01/31/2006
Last: Ramirez
First: Lourdes
DOB: 09/14/1977
County: Fulton
Street: 5801 Kingstord #127
City: Sandy springs
State: GA

Zip

30342-

Home

(404) 252-8239

Family Status

Single parent w/children

COB

Mexico

Gender

Female

Housing

Doubling Up

Education Level

Other

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: G. Landeros
Data Entry: R. Gonzalez