Pancho - VIL-CRI-74

Code: VIL-CRI-74
Mercy ID: V-01002-01
Encounter Date: 08/26/2002
Last: Villalobos
First: Cristina
DOB: 06/28/1974
County: Gwinnett
Street: 1539 Holcomb Bridge Apt. A
City: Norcross
State: GA

Zip

30092-

Home

(678) 438-2266

Family Status

Single adult

COB

Mexico

Gender

Female

Housing

Not Homeless

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. Manzo
Data Entry: K. Aleman