Pancho - GAR-LOR-80

Code: GAR-LOR-80
Mercy ID: V-02644-01
Encounter Date: 11/06/2007
Last: Garcia
First: Lorena
DOB: 03/05/1980
County: Cobb
Street: 5128 Magnolia Circle
City: Austell
State: GA

Zip

30168-

Cell

(678) 886-0384

Family Status

Adult couple-no children

COB

Mexico

Gender

Female

Housing

Not Homeless

Education Level

Some College

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: G. Landeros
Data Entry: J. Manzo