Pancho - ROJ-ISA-66

Code: ROJ-ISA-66
Mercy ID: V-01975-01
Encounter Date: 07/19/2005
Last: Rojas
First: Isabel
DOB: 02/26/1966
County: Gwinnett
Street: 4513 Bruce
City: Doraville
State: GA

Zip

30340-

Home

(678) 768-0651

Family Status

Two parent family w/children

COB

Mexico

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: 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: G. Landeros
Data Entry: K. Aleman