Pancho - LEO-ISA-00

Code: LEO-ISA-00
Mercy ID: V-00636-11
Encounter Date: 01/07/2005
Last: Leon
First: Isabelly
DOB: 05/22/2000
County: Gwinnett
Street: 2290 Heatherton Cr.
City: Dacula
State: GA

Zip

30019-

Home

(770) 513-6167

Family Status

Attached youth

COB

Colombia

Gender

Female Child

Housing

Not Homeless

Education Level

Other

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Maritza Martinez (Leon)	04/16/1973	Colombia
Father	N/A	N/A	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother
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: K. Aleman
Data Entry: K. Aleman