Pancho - ATK-JUQ-80

Code: ATK-JUQ-80
Mercy ID: V-01061-01
Encounter Date: 12/23/2002
Last: Atkinson
First: Juqui
DOB: 09/13/1980
County: Cherokee
Street: 214 Manley Ct.
City: Woodstock
State: GA

Zip

30188-

Home

(770) 591-5901

Family Status

Adult coupie-no 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. Manzo
Data Entry: Y. Garcia