Pancho - ARE-IRE-59

Code: ARE-IRE-59
Mercy ID: V-00348-01
Encounter Date: 11/27/2000
Last: Arellano
First: Irene
DOB: 04/05/1959
County: Dekalb
Street: 3982 Doral Dr.
City: Doraville
State: GA

Zip

30360-

Home

(404) 247-8859

Family Status

Two parent family w/children

COB

Mexico

Gender

Female

Housing

Not Homeless

Education Level

Grade school

Home Owner

YES

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. Manzo
Data Entry: K. Aleman