Pancho - ESP-NOR-69

Code: ESP-NOR-69
Mercy ID: V-03331-01
Encounter Date: 05/26/2010
Last: Espinoza
First: Nora
DOB: 07/03/1969
County: Gwinnett
Street: 2767 Herrating Wood Ct.
City: Larenceville
State: GA

Zip

30044-

Cell

(678) 768-0448

Family Status

Adult couple-no children

COB

Mexico

Gender

Female

Housing

Doubling Up

Education Level

Some College

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: J. Manzo