Pancho - JUA-ROC-70

Code: JUA-ROC-70
Mercy ID: V-02842-01
Encounter Date: 07/07/2008
Last: Juarez
First: Rocio
DOB: 08/05/1970
County: Gwinnett
Street: 1836 Sweetywater Road # A-2
City: Lawrenceville
State: GA

Zip

30044-

Cell

(678) 526-1930

Family Status

Two parent family w/children

COB

Colombia

Gender

Female

Housing

Single Family

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: J. Manzo