Pancho - ZUÑ-SAN-75

Code: ZUÑ-SAN-75
Mercy ID: V-00646-01
Encounter Date: 07/20/2001
Last: Zuñiga
First: Sandra
DOB: 04/14/1975
County: Gwinnett
Street: 6204 Cruce Rd.
City: Lawrenceville
State: GA

Zip

30044-

Home

(770) 476-0760

Cell

(770) 381-2708

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: 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: J. Perez
Data Entry: K. Aleman