DEL-NAN-72

Code
DEL-NAN-72
Mercy ID
V-00280-01
Encounter Date
09/11/2000
Last
De leon
First
Nancy
DOB
05/05/1972
County
Dekalb
Street
2113 Brookenview Ave.
City
Doraville
State
GA
Zip
30340-
Home
(678) 969-0456
Family Status
Single parent w/children
COB
Dominican Rep
Gender
Female
Housing
Not Homeless
Education Level
some high school

Spouse Information

Last
De leon
First
John antony
DOB
03/07/1967
Address
N/A
Telephone
N/A
COB
Mexico
Home Owner
No
Driver
No
Home Owner
YES
SOLO
No
Court Mandated
No
Program Completed
No
DFCS Mandated
No
Alcohol & Drug
No
Partner Referred to Tepestri
No
Recidivism/Court
No
New Incident
No
Promesa de Confidencialidad
No
Consentimiento De Participar
No

Petitioner

TPO
No
Stay Away Condition
No
Mutual
No

Defendant

TPO
No
Stay Away Condition
No
Mutual
No
Driver
YES
As A Child
No
Relative
No
Stranger
No
As An Adult
No
Partner
No
Relative
No
Stranger
No

Children

NAME DOB LIVING WITH STATE/COUNTRY
Brigit Valeria De Leon 11/09/1998 Mother GA/USA
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
J. Manzo
Data Entry
Y. Garcia
Referred By