Pancho - PER-VIV-66

Code: PER-VIV-66
Mercy ID: V-01644-01
Encounter Date: 07/07/2004
Last: Perez
First: Viviana
DOB: 02/07/1966
County: Gwinnett
Street: not given
City: Norcross
State: GA

Zip

26360-

Home

(678) 437-6476

Family Status

Two parent family w/children

COB

Mexico

Gender

Female

Housing

Not Homeless

Education Level

H.S. equivalency diploma

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