Pancho - AVI-GRA-76

Code: AVI-GRA-76
Mercy ID: V-00903-01
Encounter Date: 04/23/2002
Last: Suguey
First: Graciela
DOB: 07/06/1976
County: Gwinnett
Street: 3900 Portico Run Dr.
City: Bufford
State: GA

Zip

30519-

Home

(678) 482-8375

Family Status

Two parent family w/children

COB

Mexico

Gender

Female

Housing

Not Homeless

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: 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