Pancho - CAS-NAN-76

Code: CAS-NAN-76
Mercy ID: V-02807-01
Encounter Date: 06/09/2008
Last: Casay
First: Nancy
DOB: 01/11/1976
County: Chatham
Street: 55 Deerwood Road # 188
City: Savannah
State: GA

Zip

31410-

Cell

(912) 508-6917

Family Status

Single adult

COB

Perú

Gender

Female

Housing

Doubling Up

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: 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: J. Manzo