Pancho - RUI-NOR-66

Code: RUI-NOR-66
Mercy ID: V-00678-01
Encounter Date: 09/11/2001
Last: Ruiz
First: Norma
DOB: 04/02/1966
County: Cobb
Street: 560 Powder St. C-2
City: Marietta
State: GA

Zip

30064-

Home

(678) 581-0492

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. Manzo
Data Entry: K. Aleman