Pancho - NUÑ-HER-69

Code: NUÑ-HER-69
Mercy ID: V-00446-02
Encounter Date: 03/13/2001
Last: Nuñez
First: Herculano
DOB: 08/04/1969
County: Cherokee
Street: 7555 Union Hill Rd. Lot 6D
City: Canton
State: GA

Zip

30114-

Home

(678) 793-7332

Family Status

Two parent family w/children

COB

Mexico

Gender

Male

Housing

Doubling Up

Education Level

Preschool

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: K. Aleman