Pancho - VAL-MAR-76

Code: VAL-MAR-76
Mercy ID: V-00683-01
Encounter Date: 09/18/2001
Last: Valdez
First: Margarita
DOB: 08/25/1976
County: Fulton
Street: 165 S. Ridge Rd.
City: Sairdrn
State: GA

Zip

30218-

Home

(770) 434-0279

Family Status

Two parent family w/children

COB

Mexico

Gender

Female

Housing

Not Homeless

Education Level

Grade 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: J. Perez
Data Entry: K. Aleman