Pancho - GUZ-MAR-71

Code: GUZ-MAR-71
Mercy ID: V-01044-01
Encounter Date: 11/27/2002
Last: Guzman
First: Margarita
DOB: 03/14/1971
County: Fulton
Street: 7103 Colling Wood Ln.
City: Alpharetta
State: GA

Zip

30022-

Home

(770) 475-8669

Cell

(404) 964-4759

Family Status

Two parent family w/children

COB

Colombia

Gender

Female

Housing

Not Homeless

Education Level

Post Grad Degree

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