Pancho - SAN-REY-77

Code: SAN-REY-77
Mercy ID: V-00892-01
Encounter Date: 04/05/2002
Last: Sanchez
First: Reyna
DOB: 08/31/1977
County: Gwinnett
Street: 3242 Winscape Village Ln
City: Norcross
State: GA

Zip

30393-

Home

(770) 638-2981

Family Status

Two parent family w/children

COB

Honduras

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: 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