Pancho - ROB-BRE-85

Code: ROB-BRE-85
Mercy ID: V-02908-01
Encounter Date: 10/13/2008
Last: Robles
First: Brenda
DOB: 11/22/1985
County: Gwinnett
Street: 1022 Leubell Creek Road
City: Sugar hill
State: GA

Zip

30518-

Cell

(678) 469-5372

Family Status

Two parent family w/children

COB

El Salvador

Gender

Female

Housing

Doubling Up

Education Level

High school graduate

Home Owner

YES

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