Pancho - VAL-GIO-63

Code: VAL-GIO-63
Mercy ID: V-01966-01
Encounter Date: 07/16/2005
Last: Valles
First: Giovanna
DOB: 10/03/1963
County: Cobb
Street: 2400 Barry Creek Blv.
City: Marietta
State: GA

Zip

30066-

Cell

(404) 729-9408

Family Status

Adult coupie-no children

COB

Mexico

Gender

Female

Housing

Not Homeless

Education Level

College Degree

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: J. Manzo
Data Entry: K. Aleman