Pancho - GON-LET-76

Code: GON-LET-76
Mercy ID: V-00981-01
Encounter Date: 06/24/2009
Last: Gonzalez
First: Leticia
DOB: 01/01/1976
County: Gwinnett
Street: 2510 Windsor Woods Ln
City: Norcross
State: GA

Zip

30071-

Cell

(678) 394-7177

Family Status

Two parent family w/children

COB

Guatemala

Gender

Female

Housing

Doubling Up

Education Level

Preschool

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: G. Landeros
Data Entry: J. Manzo