Pancho - REI-YAN-68

Code: REI-YAN-68
Mercy ID: V-02034-01
Encounter Date: 09/14/2005
Last: Reinosa despinosa
First: Yanet
DOB: 08/20/1968
County: Gwinnett
Street: 805 Lawndale Ct.
City: Norcross
State: GA

Zip

30093-

Cell

(770) 369-1722

Family Status

Single parent w/children

COB

Dominican Rep

Gender

Female

Housing

Not Homeless

Education Level

Other

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: Volunteer
Data Entry: R. Gonzalez