Pancho - VAL-DAN-00

Code: VAL-DAN-00
Mercy ID: V-00052-12
Encounter Date: 05/31/2000
Last: Valdez
First: Daniela
DOB: 03/23/2000
County: Cobb
Street: 1967 Judy Cr.
City: Marietta
State: GA

Zip

30060-

Home

(770) 434-0279

Family Status

Child/Youth

COB

Mexico

Gender

Female Child

Housing

Single Family

Education Level

Grade school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Margarita Valdez	07/20/1960	Mexico
Father	Rafael Valdez	10/24/1966	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
Name of School: Green Acres Elemtary
Grade: 5th.
Who Can't Pickup the Child
Authoritation Parent: YES
Authoritation Child: No
DOY PERMISO: No
Limitado Educativo: No
Limitado Impresos: No
Limitado Caminar Latino: No

Intake: K. Aleman
Data Entry: K. Aleman