Pancho - LEM-MAR-80

Code: LEM-MAR-80
Mercy ID: V-02249-01
Encounter Date: 05/12/2006
Last: Lemus
First: Maria araceli
DOB: 02/10/1980
County: Gwinnett
Street: 3525 Club Drive #706
City: Not given
State: GA

Zip

30044-

Home

(770) 923-5819

Cell

(678) 449-4968

Family Status

Single parent w/children

COB

El Salvador

Gender

Female

Housing

Not Homeless

Education Level

Preschool

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