Pancho - ARR-VER-73

Code: ARR-VER-73
Mercy ID: V-00262-01
Encounter Date: 08/17/2000
Last: Arredondo
First: Veronica
DOB: 03/06/1973
County: Gwinnett
Street: 713 wynhollow trace apt 4
City: Norcross
State: GA

Zip

30071-

Home

(770) 448-7094

Family Status

Single adult

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: 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: S. Aviña