Pancho - REY-AND-73

Code: REY-AND-73
Mercy ID: V-00125-01
Encounter Date: 02/09/2000
Last: Reyes
First: Andrea
DOB: 11/16/1973
County: Dekalb
Street: 3630 Shallowford Rd#J-8
City: Doraville
State: GA

Zip

30340-

Home

(770) 936-3098

Family Status

Two parent family w/children

COB

Mexico

Gender

Female

Housing

Not Homeless

Education Level

High school graduate

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: D. Gomez