Pancho - ARE-CAR-74

Code: ARE-CAR-74
Mercy ID: V-02850-01
Encounter Date: 07/21/2008
Last: Arevalo
First: Carolina
DOB: 01/03/1974
County: Gwinnett
Street: 3393 Peachtree Corner Cr.
City: Norcross
State: GA

Zip

30092-

Cell

(678) 598-4443

Family Status

Adult couple-no children

COB

Colombia

Gender

Female

Housing

Single Family

Education Level

Some College

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