Pancho - PAC-CRI-73

Code: PAC-CRI-73
Mercy ID: V-02041-01
Encounter Date: 09/15/2005
Last: Pacheco
First: Cristina
DOB: 07/05/1973
County: Gwinnett
Street: 5932 Morgan Rd.
City: Doraville
State: GA

Zip

30340-

Cell

(770) 866-7255

Family Status

Single adult

COB

Mexico

Gender

Female

Housing

Doubling Up

Education Level

Grade 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: YES
Limitado Educativo: No
Limitado Impresos: No
Limitado Caminar Latino: No

Intake: J. Perez
Data Entry: R. Gonzalez