Pancho - FLO-MIN-71

Code: FLO-MIN-71
Mercy ID: V-01182-01
Encounter Date: 03/31/2003
Last: Flores
First: Minerva
DOB: 05/28/1971
County: Gwinnett
Street: 1635 Pirkle Rd. Apt. 1719
City: Norcross
State: GA

Zip

30093-

Home

(404) 454-2937

Family Status

Single adult

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: 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. Manzo
Data Entry: K. Aleman