Pancho - VAL-DAN-02

Code: VAL-DAN-02
Mercy ID: V-02309-11
Encounter Date: 08/16/2006
Last: Valle
First: Daniela
DOB: 04/09/2002
County: Dekalb
Street: 2479 Skyline Dr. # B
City: Atlanta
State: GA

Zip

30319-

Home

(404) 633-3650

Family Status

Attached youth

COB

USA

Gender

Female Child

Housing

Doubling Up

Education Level

Preschool

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Sara Ramos	03/15/1971	Honduras
Father	Rafael Valles	02/21/1959	Honduras
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother
Name of School: Headstart
Grade: Pre-K
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: Y. Garcia
Data Entry: J. Manzo