Pancho - CAS-LUC-61

Code: CAS-LUC-61
Mercy ID: V-02351-01
Encounter Date: 11/13/2006
Last: Castillo
First: Lucy
DOB: 08/15/1961
County: Gwinnett
Street: 125 Howell Tr.
City: Duluth
State: GA

Zip

30096-

Home

(770) 232-7976

Family Status

Two parent family w/children

COB

Perú

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: 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: J. Perez
Data Entry: G. Landeros