Pancho - TOV-LUZ-70

Code: TOV-LUZ-70
Mercy ID: V-03066-01
Encounter Date: 05/07/2009
Last: Tovar
First: Luz neyda
DOB: 07/08/1970
County: Gwinnett
Street: 1008 Country Court
City: Lawrenceville
State: GA

Zip

30044-

Cell

(404) 914-7877

Family Status

Two parent family w/children

COB

Colombia

Gender

Female

Housing

Single Family

Education Level

Post Grad Degree

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: J. Perez
Data Entry: J. Manzo