Pancho - VAS-ALE-72

Code: VAS-ALE-72
Mercy ID: V-00341-02
Encounter Date: 11/14/2000
Last: Vasquez
First: Alejandro
DOB: 05/02/1972
County: Gwinnett
Street: 848 Still Water Lane
City: Lawrenceville
State: GA

Zip

30044-

Home

(770) 935-4471

Family Status

Two parent family w/children

COB

Mexico

Gender

Male

Housing

Doubling Up

Education Level

High school graduate

Home Owner

YES

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: R. Miranda
Data Entry: K. Aleman