Pancho - CAL-CAR-73

Code: CAL-CAR-73
Mercy ID: V-00826-01
Encounter Date: 02/08/2002
Last: Calderon
First: Carmen
DOB: 01/24/1973
County: Gwinnett
Street: 6259 Norcross Tucker Rd.
City: Tucker
State: GA

Zip

30084-

Home

(770) 934-5320

Family Status

Two parent family w/children

COB

Puerto Rico

Gender

Female

Housing

Not Homeless

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: 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