Pancho - MOR-MAR-70

Code: MOR-MAR-70
Mercy ID: V-02844-01
Encounter Date: 07/01/2008
Last: Morales
First: Maria remedios
DOB: 05/24/1970
County: Gwinnett
Street: 3006 Meadow Wood
City: Lawrenceville
State: GA

Zip

30044-

Cell

(770) 873-3186

Family Status

Two parent family w/children

COB

Mexico

Gender

Female

Housing

Single Family

Education Level

some high school

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