Pancho - CAB-ALE-67

Code: CAB-ALE-67
Mercy ID: V-01850-01
Encounter Date: 03/08/2005
Last: Cabrera
First: Alejandra
DOB: 12/25/1967
County: Gwinnett
Street: 1655 Center Rd. Apt #734
City: Duluth
State: GA

Zip

30096-

Home

(678) 488-9835

Family Status

Two parent family w/children

COB

Dominican Rep

Gender

Female

Housing

Not Homeless

Education Level

High school graduate

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: G. Landeros
Data Entry: K. Aleman