Pancho - INF-CEC-74

Code: INF-CEC-74
Mercy ID: V-02865-01
Encounter Date: 08/05/2008
Last: Infante
First: Cecilia
DOB: 11/06/1974
County: Gwinnett
Street: 3405 Sweetwater Road # 317
City: Lawrenceville
State: GA

Zip

30044-

Cell

(678) 651-5642

Family Status

Single parent w/children

COB

Venezuela

Gender

Female

Housing

Single Family

Education Level

Grade 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