Pancho - GAB-MAR-68

Code: GAB-MAR-68
Mercy ID: V-02363-01
Encounter Date: 12/04/2006
Last: Gabriel
First: Marcelina
DOB: 04/25/1968
County: Gwinnett
Street: 4224-A Plaza Lake
City: Duluth
State: GA

Zip

30096-

Home

(770) 232-7325

Family Status

Two parent family w/children

COB

Guatemala

Gender

Female

Housing

Doubling Up

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: 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: J. Perez
Data Entry: J. Manzo