Pancho - NUÑ-PIL-74

Code: NUÑ-PIL-74
Mercy ID: V-02012-01
Encounter Date: 12/06/2005
Last: Nuñez
First: Pilar
DOB: 09/22/1974
County: Fulton
Street: 121 Old Holcomb Bridge Rd
City: Roswell
State: GA

Zip

30076-

Cell

(678) 789-2127

Family Status

Single parent w/children

COB

Mexico

Gender

Female

Housing

Not Homeless

Education Level

some high school

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: R. Gonzalez