Pancho - TOR-NIU-68

Code: TOR-NIU-68
Mercy ID: V-01271-01
Encounter Date: 06/30/2003
Last: Tornet
First: Niurka
DOB: 12/01/1968
County: Gwinnett
Street: 3024 Hidden Lake Dr.
City: Duluth
State: GA

Zip

30096-

Home

(678) 570-6412

Family Status

Adult coupie-no children

COB

Cuba

Gender

Female

Housing

Doubling Up

Education Level

Some College

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: 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: K. Aleman