Pancho - ARG-CAR-67

Code: ARG-CAR-67
Mercy ID: V-00825-01
Encounter Date: 01/29/2002
Last: Argumedo
First: Carmen
DOB: 01/24/1967
County: Gwinnett
Street: 2796 Spring Rock Way
City: Lawrenceville
State: GA

Zip

30043-

Home

(678) 482-6085

Family Status

Two parent family w/children

COB

Perú

Gender

Female

Housing

Not Homeless

Education Level

High school graduate

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: K. Aleman