Pancho - VIL-GAB-80

Code: VIL-GAB-80
Mercy ID: V-02584-01
Encounter Date: 08/29/2007
Last: Villanueva
First: Gabriela
DOB: 12/21/1980
County: Fulton
Street: 5320 Rooswell Rd. Apt. G-7
City: Roswell
State: GA

Zip

30342-

Cell

(404) 397-7254

Family Status

Two parent family w/children

COB

Mexico

Gender

Female

Housing

Doubling Up

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: 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: G. Landeros
Data Entry: J. Manzo