Pancho - CEN-NOR-81

Code: CEN-NOR-81
Mercy ID: V-03341-02
Encounter Date: 06/15/2010
Last: Cenobio
First: Norberto
DOB: 06/05/1981
County: Dekalb
Street: 4174 Goodwin Court
City: Doraville
State: GA

Zip

30360-

Cell

(678) 886-6182

Family Status

Two parent family w/children

COB

Mexico

Gender

Male

Housing

Doubling Up

Education Level

some high 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: J. Manzo
Data Entry: J. Manzo