Pancho - LUN-CIN-61

Code: LUN-CIN-61
Mercy ID: V-00112-01
Encounter Date: 02/17/2000
Last: Luna
First: Cintya
DOB: 07/09/1961
County: Gwinnett
Street: 3204 treetrail
City: Norcross
State: GA

Zip

30093-

Home

(770) 475-3045

Family Status

Single adult

COB

USA

Gender

Female

Housing

Not Homeless

Education Level

some high 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: S. Aviña