Pancho - ARG-DAR-82

Code: ARG-DAR-82
Mercy ID: V-01953-01
Encounter Date: 07/05/2005
Last: Argueta
First: Daris
DOB: 02/01/1982
County: Gwinnett
Street: 6259 S. Norcross
City: Tucker
State: GA

Zip

30084-

Home

(678) 923-8244

Family Status

Two parent family w/children

COB

El Salvador

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. Perez
Data Entry: K. Aleman