Pancho - REY-GER-63

Code: REY-GER-63
Mercy ID: V-01832-01
Encounter Date: 02/11/2005
Last: Reyes
First: Gertrudis
DOB: 04/10/1963
County: Gwinnett
Street: 2503 Preston Lake Dr.
City: Tucker
State: GA

Zip

30084-

Home

(770) 374-9109

Family Status

Single adult

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. Manzo
Data Entry: K. Aleman