Pancho - PEÑ-GLO-71

Code: PEÑ-GLO-71
Mercy ID: V-01042-01
Encounter Date: 11/22/2002
Last: Peña
First: Gloria
DOB: 04/16/1971
County: Gwinnett
Street: 3233 Sunrise Village Ln.
City: Norcross
State: GA

Zip

30093-

Home

(770) 339-1947

Family Status

Two parent family w/children

COB

Colombia

Gender

Female

Housing

Not Homeless

Education Level

Vocational/Technical

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