Pancho - ZAN-LUC-65

Code: ZAN-LUC-65
Mercy ID: V-03138-01
Encounter Date: 08/17/2009
Last: Zanelli
First: Lucia
DOB: 10/21/1965
County: Cobb
Street: 4575 River # 4
City: Atlanta
State: GA

Zip

30339-

Cell

(404) 808-2382

Family Status

Single adult

COB

Perú

Gender

Female

Housing

Single Family

Education Level

Some College

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: J. Manzo