Pancho - PAR-ROC-66

Code: PAR-ROC-66
Mercy ID: V-02278-01
Encounter Date: 06/23/2006
Last: Parra
First: Rocio
DOB: 11/05/1966
County: Gwinnett
Street: 310 Circle Rd
City: Dacula
State: GA

Zip

30019-

Home

(678) 442-0530

Family Status

Two parent family w/children

COB

Colombia

Gender

Female

Housing

Not Homeless

Education Level

High school graduate

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