Pancho - FLO-GAC-70

Code: FLO-GAC-70
Mercy ID: V-02799-01
Encounter Date: 05/27/2008
Last: Flores
First: Graciela
DOB: 06/20/1970
County: Gwinnett
Street: 5136 Devora Dr. NE
City: Doraville
State: GA

Zip

30340-

Home

(678) 255-8791

Cell

(404) 283-4812

Family Status

Two parent family w/children

COB

El Salvador

Gender

Female

Housing

Doubling Up

Education Level

Preschool

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