Pancho - BAR-ALB-70

Code: BAR-ALB-70
Mercy ID: V-02243-01
Encounter Date: 05/02/2006
Last: Barrera
First: Alba
DOB: 11/16/1970
County: Dekalb
Street: 3078 Clairmont Rd #221
City: Atlanta
State: GA

Zip

30329-

Home

(404) 325-9322

Family Status

Two parent family w/children

COB

Colombia

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: G. Landeros
Data Entry: R. Gonzalez