Pancho - MOR-EUL-77

Code: MOR-EUL-77
Mercy ID: V-00366-01
Encounter Date: 12/19/2000
Last: Morales
First: Eulalia
DOB: 02/12/1977
County: Gwinnett
Street: 100 castor dr bld-10-c apt#4
City: Norcross
State: GA

Zip

30071-

Home

(770) 453-1538

Family Status

Two parent family w/children

COB

Mexico

Gender

Female

Housing

Doubling Up

Education Level

Grade school

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