Pancho - LEO-NAN-64

Code: LEO-NAN-64
Mercy ID: V-01556-01
Encounter Date: 04/06/2004
Last: Leon
First: Nancy
DOB: 01/20/1964
County: Gwinnett
Street: 3450 Breking Ridge Blvd. Apt 26
City: Duluth
State: GA

Zip

30096-

Home

(770) 923-7677

Family Status

Two parent family w/children

COB

Ecuador

Gender

Female

Housing

Not Homeless

Education Level

College Degree

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: YES
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