Pancho - GAM-ALE-72

Code: GAM-ALE-72
Mercy ID: V-03378-01
Encounter Date: 07/28/2010
Last: Gamez
First: Alejandra
DOB: 04/07/1972
County: Gwinnett
Street: 999 HOMELESS
City: Norcross
State: GA

Zip

30093-

Cell

(404) 957-2095

Family Status

Single parent w/children

COB

Mexico

Gender

Female

Housing

Other

Education Level

H.S. equivalency diploma

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