Pancho - MAR-ZOR-80

Code: MAR-ZOR-80
Mercy ID: V-02085-01
Encounter Date: 10/29/2005
Last: Maraquin
First: Zoraya
DOB: 08/29/1980
County: Gwinnett
Street: 1642 Canoball Ct.
City: Lawrenceville
State: GA

Zip

30044-

Family Status

Two parent family w/children

COB

Mexico

Gender

Female

Housing

Not Homeless

Education Level

H.S. equivalency diploma

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: R. Gonzalez