Pancho - ESP-JAN-79

Code: ESP-JAN-79
Mercy ID: V-00475-01
Encounter Date: 04/13/2001
Last: Espinoza
First: Janet
DOB: 02/12/1979
County: Gwinnett
Street: 4498 Buford Hwy Apt 201
City: Norcross
State: GA

Zip

30071-

Home

(770) 797-9376

Family Status

Two parent family w/children

COB

Mexico

Gender

Female

Housing

Doubling Up

Education Level

Vocational/Technical

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: J. Perez
Data Entry: K. Aleman