Pancho - NUÑ-JES-73

Code: NUÑ-JES-73
Mercy ID: V-00298-02
Encounter Date: 09/27/2005
Last: Nuñes
First: Jesus
DOB: 07/13/1973
County: Cobb
Street: H2 Johnston Pkwy
City: Kennesaw
State: GA

Zip

30152-

Home

(678) 581-1288

Family Status

Two parent family w/children

COB

Mexico

Gender

Male

Housing

Doubling Up

Education Level

High school graduate

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: R. Miranda
Data Entry: R. Gonzalez