Pancho - NUN-MAR-50

Code: NUN-MAR-50
Mercy ID: V-00073-01
Encounter Date: 01/05/2000
Last: Nuno
First: Maria asuncion
DOB: 12/13/1950
County: Dekalb
Street: 3218 A Chamblee Dunwoody RD
City: Chamblee
State: GA

Zip

30341-

Home

(770) 451-0293

Family Status

Two parent family w/children

COB

Mexico

Gender

Female

Housing

Not Homeless

Education Level

Grade school

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. Manzo
Data Entry: D. Gomez