Pancho - SAL-VIC-78

Code: SAL-VIC-78
Mercy ID: V-00829-01
Encounter Date: 01/08/2002
Last: Salinas
First: Victoria
DOB: 02/01/1978
County: Cobb
Street: NOT GIVEN
City: Marietta
State: GA

Zip

00000-0000

Home

(770) 319-0262

Family Status

Two parent family w/children

COB

Mexico

Gender

Female

Housing

Doubling Up

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: 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: J. Perez
Data Entry: K. Aleman