Pancho - LIN-NUV-64

Code: LIN-NUV-64
Mercy ID: V-01867-01
Encounter Date: 04/06/2005
Last: Lindeen
First: Nuvia
DOB: 03/07/1964
County: Henry
Street: 1008 Edie Cowe
City: Mcdonagh
State: GA

Zip

30353-

Home

(770) 216-2970

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: 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: G. Landeros
Data Entry: K. Aleman