Pancho - BON-MAR-75

Code: BON-MAR-75
Mercy ID: V-00944-01
Encounter Date: 06/07/2002
Last: Bonilla
First: María
DOB: 08/26/1975
County: Gwinnett
Street: 414 Fountain Hunting Crossing
City: Norcross
State: GA

Zip

30093-

Home

(770) 279-1392

Family Status

Single parent w/children

COB

El Salvador

Gender

Female

Housing

Doubling Up

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: 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