Pancho - VAZ-ROX-83

Code: VAZ-ROX-83
Mercy ID: V-02186-01
Encounter Date: 03/01/2006
Last: Vazquez
First: Roxana
DOB: 11/23/1983
County: Dekalb
Street: 2490 Scalland Dr #B
City: Atlanta
State: GA

Zip

30319-

Cell

(404) 839-5809

Family Status

Two parent family w/children

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: No
Limitado Educativo: No
Limitado Impresos: No
Limitado Caminar Latino: No

Intake: G. Landeros
Data Entry: R. Gonzalez