Pancho - ORO-DOR-67

Code: ORO-DOR-67
Mercy ID: V-01661-01
Encounter Date: 07/27/2004
Last: Orosco
First: Dora
DOB: 11/25/1967
County: Gwinnett
Street: 992 Devon Ct.
City: Lilburn
State: GA

Zip

30047-

Home

(678) 380-5749

Family Status

Two parent family w/children

COB

Mexico

Gender

Female

Housing

Doubling Up

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: No
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