Pancho - LUN-GLO-73

Code: LUN-GLO-73
Mercy ID: V-02164-01
Encounter Date: 02/08/2006
Last: Luna
First: Gloria
DOB: 01/31/1973
County: Other
Street: 402 Optin St
City: Wharton
State: GA

Zip

77488-

Home

(979) 531-1608

Family Status

Two parent family w/children

COB

USA

Gender

Female

Housing

Doubling Up

Education Level

High school graduate

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: 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