Pancho - THI-ROX-66

Code: THI-ROX-66
Mercy ID: V-00467-01
Encounter Date: 04/09/2001
Last: Thiers
First: Roxana
DOB: 11/25/1966
County: Gwinnett
Street: homeless
City: Norcross
State: GA

Zip

00000-

Home

(770) 923-1926

Family Status

Adult coupie-no children

COB

Chile

Gender

Female

Housing

Street

Education Level

Vocational/Technical

Home Owner

YES

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. Manzo
Data Entry: S. Aviña