Pancho - VAL-ALE-63

Code: VAL-ALE-63
Mercy ID: V-01759-01
Encounter Date: 11/19/2004
Last: Vallejo
First: Alejandra
DOB: 12/21/1963
County: Gwinnett
Street: 332 Northwood Lake Ct.
City: Duluth
State: GA

Zip

30096-

Cell

(678) 557-5474

Family Status

Adult coupie-no children

COB

Mexico

Gender

Female

Housing

Not Homeless

Education Level

College Degree

Home Owner

YES

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