Pancho - MUÑ-VER-73

Code: MUÑ-VER-73
Mercy ID: V-00317-01
Encounter Date: 10/19/2000
Last: Muños
First: Veronica
DOB: 05/13/1973
County: Not given
Street: 111 weat cardinal ln
City: Lawrenceville
State: GA

Zip

30044-

Home

(770) 638-7697

Family Status

Single parent w/children

COB

Mexico

Gender

Female

Housing

Doubling Up

Education Level

Vocational/Technical

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: 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: No
Limitado Educativo: No
Limitado Impresos: No
Limitado Caminar Latino: No

Intake: J. Perez
Data Entry: D. Gomez