Pancho - BAR-VIL-65

Code: BAR-VIL-65
Mercy ID: V-03198-01
Encounter Date: 10/30/2009
Last: Barahona
First: Vilma
DOB: 04/20/1965
County: Cobb
Street: 490 Windy Hill Road Apt. 707
City: Smyrna
State: GA

Zip

30082-

Cell

(678) 334-8463

Family Status

Two parent family w/children

COB

El Salvador

Gender

Female

Housing

Doubling Up

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: 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