Pancho - MUN-CAR-71

Code: MUN-CAR-71
Mercy ID: V-00774-01
Encounter Date: 12/04/2001
Last: Munera
First: Carolina
DOB: 01/07/1971
County: Gwinnett
Street: 450 Jonesmill Rd. Apt110
City: Norcross
State: GA

Zip

30092-

Home

(678) 887-6554

Family Status

Two parent family w/children

COB

Colombia

Gender

Female

Housing

Not Homeless

Education Level

College Degree

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