Pancho - HUE-LUC-80

Code: HUE-LUC-80
Mercy ID: V-03061-01
Encounter Date: 04/29/2009
Last: Huerta
First: Lucia
DOB: 05/18/1980
County: Cobb
Street: 750 Franklin Road
City: Marietta
State: GA

Zip

30067-

Cell

(678) 975-1810

Family Status

Adult couple-no children

COB

Mexico

Gender

Female

Housing

Single Family

Education Level

Grade 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: J. Manzo