Pancho - CAR-GAB-70

Code: CAR-GAB-70
Mercy ID: V-01800-01
Encounter Date: 01/06/2005
Last: Cardosa
First: Gabriela
DOB: 08/25/1970
County: Gwinnett
Street: 301 Willow Tr.
City: Norcross
State: GA

Zip

30093-

Cell

(678) 924-0918

Family Status

Two parent family w/children

COB

Uruguay

Gender

Female

Housing

Not Homeless

Education Level

some high 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