Pancho - ESC-MAR-74

Code: ESC-MAR-74
Mercy ID: V-02445-01
Encounter Date: 03/27/2007
Last: Escobar
First: Maria
DOB: 02/17/1974
County: Gwinnett
Street: 3352 Centinel Cir.
City: Lawrenceville
State: GA

Zip

30043-

Cell

(562) 712-6516

Family Status

Two parent family w/children

COB

El Salvador

Gender

Female

Housing

Doubling Up

Education Level

Preschool

Home Owner

YES

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: J. Manzo