Pancho - RIN-MAR-74

Code: RIN-MAR-74
Mercy ID: V-02093-01
Encounter Date: 11/11/2005
Last: Rincon
First: Maria naydu
DOB: 12/21/1974
County: Gwinnett
Street: 105 Friars Head Rd
City: Suwanee
State: GA

Zip

30024-

Family Status

Two parent family w/children

COB

Colombia

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: 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: R. Gonzalez