Pancho - ALE-CLA-72

Code: ALE-CLA-72
Mercy ID: V-01266-01
Encounter Date: 06/28/2003
Last: Alecio
First: Claudia
DOB: 11/04/1972
County: Gwinnett
Street: 5175 Apollo Lane
City: Lilburn
State: GA

Zip

30047-

Home

(770) 935-0552

Family Status

Two parent family w/children

COB

Guatemala

Gender

Female

Housing

Doubling Up

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