Pancho - BET-JUL-78

Code: BET-JUL-78
Mercy ID: V-02022-01
Encounter Date: 08/24/2005
Last: Betancourt
First: Juliana
DOB: 07/22/1978
County: Gwinnett
Street: 525 Ridgebrook Trail
City: Duluth
State: GA

Zip

30096-

Cell

(404) 207-2138

Family Status

Single adult

COB

Colombia

Gender

Female

Housing

Not Homeless

Education Level

College Degree

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: Volunteer
Data Entry: K. Aleman