Pancho - ARC-CEL-63

Code: ARC-CEL-63
Mercy ID: V-00759-01
Encounter Date: 12/05/2001
Last: Archila
First: Cecilia
DOB: 03/11/1963
County: Gwinnett
Street: 1356 Woodington Circle
City: Lawrenceville
State: GA

Zip

30044-

Home

(770) 685-1595

Family Status

Two parent family w/children

COB

El Salvador

Gender

Female

Housing

Doubling Up

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: 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