Pancho - BED-GLO-54

Code: BED-GLO-54
Mercy ID: V-00046-01
Encounter Date: 01/26/2000
Last: Bedoya
First: Gloria
DOB: 02/04/1954
County: Gwinnett
Street: 1070 Court Dr. # F
City: Duluth
State: GA

Zip

30096-

Cell

(678) 637-6694

Family Status

Single adult

COB

Colombia

Gender

Female

Housing

Single Family

Education Level

Some College

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: G. Landeros
Data Entry: J. Manzo