Pancho - ZUÑ-BER-64

Code: ZUÑ-BER-64
Mercy ID: V-00603-01
Encounter Date: 07/16/2001
Last: Zuñiga
First: Bertha
DOB: 05/20/1964
County: Gwinnett
Street: 2620 Five Star Cr.
City: Snellville
State: GA

Zip

30039-

Home

(404) 431-4530

Family Status

Single parent w/children

COB

Mexico

Gender

Female

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: 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: K. Aleman