Pancho - ARR-FAB-82

Code: ARR-FAB-82
Mercy ID: V-03305-01
Encounter Date: 04/21/2010
Last: Arredondo
First: Fabiola
DOB: 02/28/1982
County: Gwinnett
Street: 2034 Chase Common Dr.
City: Norcross
State: GA

Zip

30071-

Cell

(678) 598-0286

Family Status

Two parent family w/children

COB

Mexico

Gender

Female

Housing

Doubling Up

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: J. Perez
Data Entry: J. Manzo