Pancho - SAL-JUA-71

Code: SAL-JUA-71
Mercy ID: V-00238-01
Encounter Date: 06/12/2000
Last: Salas
First: Juana
DOB: 05/08/1971
County: Other
Street: 1228 pean Valley
City: Gainesville
State: GA

Zip

30501-

Home

(770) 297-5096

Family Status

Two parent family w/children

COB

Mexico

Gender

Female

Housing

Doubling Up

Education Level

Vocational/Technical

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: YES
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: D. Gomez