Pancho - NOR-LET-74

Code: NOR-LET-74
Mercy ID: V-02653-01
Encounter Date: 11/20/2007
Last: Noriega
First: Leticia
DOB: 12/31/1974
County: Hall
Street: 3315 Mountainview Road Lot 8
City: Gainsville
State: GA

Zip

30504-

Cell

(770) 374-9903

Family Status

Single parent w/children

COB

Mexico

Gender

Female

Housing

Not Homeless

Education Level

some high school

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: 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: G. Landeros
Data Entry: J. Manzo