Pancho - CAS-MAR-68

Code: CAS-MAR-68
Mercy ID: V-01341-01
Encounter Date: 09/08/2003
Last: Castro
First: Maria de l
DOB: 02/02/1968
County: Gwinnett
Street: 3345 Knoot St.
City: Duluth
State: GA

Zip

30096-

Home

(678) 755-7928

Family Status

Two parent family w/children

COB

Mexico

Gender

Female

Housing

Not Homeless

Education Level

some high school

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. Perez
Data Entry: K. Aleman