Pancho - YAÑ-ARA-85

Code: YAÑ-ARA-85
Mercy ID: V-03196-01
Encounter Date: 10/22/2009
Last: Yañez
First: Araceli
DOB: 03/02/1985
County: Gwinnett
Street: 307 Medowood Commons lane
City: Norcross
State: GA

Zip

30071-

Cell

(770) 875-7749

Family Status

Two parent family w/children

COB

Mexico

Gender

Female

Housing

Doubling Up

Education Level

Grade school

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: J. Manzo