Pancho - AVA-OLG-76

Code: AVA-OLG-76
Mercy ID: V-00312-31
Encounter Date: 10/24/2001
Last: Avalos
First: Olga
DOB: 12/10/1976
County: Gwinnett
Street: 2561 Valley Dr.
City: Norcross
State: GA

Zip

30071-

Home

(770) 242-8487

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: 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: K. Aleman