Pancho - GUZ-ROS-72

Code: GUZ-ROS-72
Mercy ID: V-00158-01
Encounter Date: 03/08/2000
Last: Guzman
First: Rosalinda
DOB: 03/28/1972
County: Gwinnett
Street: 1238-A McPearson Ln.
City: Norcross
State: GA

Zip

30093-

Home

(770) 638-0782

Family Status

Adult coupie-no children

COB

El Salvador

Gender

Female

Housing

Doubling Up

Education Level

Vocational/Technical

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. Manzo
Data Entry: Y. Garcia