Pancho - PEÑ-MAR-69

Code: PEÑ-MAR-69
Mercy ID: V-02068-01
Encounter Date: 10/29/2005
Last: Peñuela
First: Marcela
DOB: 10/20/1969
County: Gwinnett
Street: 1307 Preston Lake
City: Tucker
State: GA

Zip

30884-

Home

(770) 789-8159

Cell

(770) 633-2148

Family Status

Two parent family w/children

COB

Colombia

Gender

Female

Housing

Not Homeless

Education Level

College Degree

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: R. Gonzalez