Pancho - TRE-CLA-76

Code: TRE-CLA-76
Mercy ID: V-03230-01
Encounter Date: 12/24/2009
Last: Trejo
First: Claudia
DOB: 10/09/1976
County: Gwinnett
Street: 3250 Sweetwater Road
City: Lawrenceville
State: GA

Zip

30044-

Cell

(678) 913-9866

Family Status

Two parent family w/children

COB

Mexico

Gender

Female

Housing

Doubling Up

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: No
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