Pancho - GAL-ROS-66

Code: GAL-ROS-66
Mercy ID: V-00887-01
Encounter Date: 04/10/2002
Last: Galindo
First: Rosa
DOB: 06/02/1966
County: Gwinnett
Street: 168 Oak Green Dr.
City: Lawrenceville
State: GA

Zip

30044-

Home

(770) 827-0920

Family Status

Adult coupie-no 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: 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. Perez
Data Entry: K. Aleman