Pancho - ALC-ROC-63

Code: ALC-ROC-63
Mercy ID: V-02661-01
Encounter Date: 11/27/2007
Last: Alcantara
First: Rocio
DOB: 08/26/1963
County: Gwinnett
Street: 1160 Creekwood Ln
City: Lawrenceville
State: GA

Zip

30045-

Cell

(770) 277-4873

Family Status

Two parent family w/children

COB

Mexico

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: 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: J. Manzo