Pancho - VAL-SAR-59

Code: VAL-SAR-59
Mercy ID: V-00832-01
Encounter Date: 01/28/2002
Last: Valdez
First: Sara
DOB: 04/13/1959
County: Dekalb
Street: 3598 E Meadlow Glenn
City: Doraville
State: GA

Zip

30340-

Home

(678) 485-8251

Cell

(770) 409-3233

Family Status

Adult coupie-no children

COB

Chile

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: J. Manzo
Data Entry: K. Aleman