Pancho - DEL-MIL-80

Code: DEL-MIL-80
Mercy ID: V-03125-01
Encounter Date: 07/20/2009
Last: De la llave
First: Milagros
DOB: 05/18/1980
County: Gwinnett
Street: 3578 Jimmy Carter Blvd. # 218
City: Norcross
State: GA

Zip

30093-

Cell

(678) 778-2695

Family Status

Adult couple-no children

COB

Colombia

Gender

Female

Housing

Single Family

Education Level

College Degree

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: YES
Limitado Impresos: No
Limitado Caminar Latino: No

Intake: G. Landeros
Data Entry: J. Manzo