Pancho - OZU-LET-60

Code: OZU-LET-60
Mercy ID: V-01104-01
Encounter Date: 02/04/2003
Last: Ozuna
First: Leticia
DOB: 01/10/1960
County: Gwinnett
Street: 950 Charter Club
City: Lawrenceville
State: GA

Zip

30043-

Home

(770) 682-4066

Family Status

Two parent family w/children

COB

Mexico

Gender

Female

Housing

Not Homeless

Education Level

High school graduate

Home Owner

YES

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. Manzo
Data Entry: K. Aleman