Pancho - FER-ANG-75

Code: FER-ANG-75
Mercy ID: V-00394-01
Encounter Date: 01/24/2001
Last: Fernandez
First: Angelica
DOB: 06/28/1975
County: Dekalb
Street: 2612 Mclave Rd.
City: Doraville
State: GA

Zip

30340-

Home

(404) 247-0401

Family Status

Two parent family w/children

COB

Colombia

Gender

Female

Housing

Doubling Up

Education Level

College Degree

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: J. Manzo
Data Entry: K. Aleman