Pancho - LIM-ERV-72

Code: LIM-ERV-72
Mercy ID: V-00079-02
Encounter Date: 03/14/2000
Last: Lima
First: Hervin
DOB: 09/15/1972
County: Gwinnett
Street: 1396 Glynnview Circle
City: Lawrenceville
State: GA

Zip

30043-

Home

(770) 963-7998

Family Status

Two parent family w/children

COB

El Salvador

Gender

Male

Housing

Doubling Up

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: 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: R. Miranda
Data Entry: K. Aleman