Pancho - ANN-NOR-71

Code: ANN-NOR-71
Mercy ID: V-00760-01
Encounter Date: 12/05/2001
Last: Annes brown
First: Norma
DOB: 09/18/1971
County: Cobb
Street: 1955 Bell Ferry Rd. #835
City: Marietta
State: GA

Zip

30066-

Home

(770) 421-8263

Family Status

Adult coupie-no children

COB

Mexico

Gender

Female

Housing

Doubling Up

Education Level

Grade 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. Perez
Data Entry: K. Aleman