Pancho - PRI-FAB-76

Code: PRI-FAB-76
Mercy ID: V-02307-01
Encounter Date: 08/01/2006
Last: Prigione
First: Fabiana
DOB: 11/25/1976
County: Cowetta
Street: 2 Tingle
City: Ln.
State: GA

Zip

30268-

Home

(770) 463-9744

Family Status

Two parent family w/children

COB

Argentina

Gender

Female

Housing

Not Homeless

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: J. Manzo