Pancho - SER-JUL-73

Code: SER-JUL-73
Mercy ID: V-02191-01
Encounter Date: 03/07/2006
Last: Serrano
First: Julie
DOB: 06/09/1973
County: Gwinnett
Street: 3203 Park Colony Dr
City: Norcross
State: GA

Zip

30093-

Cell

(678) 698-0399

Family Status

Two parent family w/children

COB

USA

Gender

Female

Housing

Not Homeless

Education Level

Some College

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