Pancho - NUÑ-ADR-70

Code: NUÑ-ADR-70
Mercy ID: V-03322-01
Encounter Date: 05/05/2010
Last: Nuñez
First: Adriana
DOB: 09/16/1970
County: Clayton
Street: 976 Forest Ave. D-42
City: Forest park
State: GA

Zip

30297-

Cell

(404) 748-2831

Family Status

Single adult

COB

Mexico

Gender

Female

Housing

Single Family

Education Level

Grade 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: YES
Limitado Educativo: No
Limitado Impresos: No
Limitado Caminar Latino: No

Intake: G. Landeros
Data Entry: J. Manzo