Pancho - RUI-NAN-74

Code: RUI-NAN-74
Mercy ID: V-01816-01
Encounter Date: 01/31/2005
Last: Ruiz
First: Nancy
DOB: 12/30/1974
County: Gwinnett
Street: 2220 Town Camp Way
City: Lawrenceville
State: GA

Zip

30044-

Home

(678) 249-4742

Family Status

Single parent w/children

COB

Honduras

Gender

Female

Housing

Doubling Up

Education Level

Vocational/Technical

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: J. Perez
Data Entry: K. Aleman