Pancho - VEG-LIL-86

Code: VEG-LIL-86
Mercy ID: V-01558-01
Encounter Date: 04/02/2004
Last: Vega
First: Liliana
DOB: 12/28/1986
County: Gwinnett
Street: 616 Sparrows Lane
City: Norcross
State: GA

Zip

30093-

Home

(770) 934-5703

Family Status

Adult coupie-no children

COB

Mexico

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: J. Manzo
Data Entry: K. Aleman