Pancho - VAL-LAU-70

Code: VAL-LAU-70
Mercy ID: V-03313-01
Encounter Date: 04/28/2010
Last: Valdez
First: Laura
DOB: 09/16/1970
County: Gwinnett
Street: 5836 Devora Drvie
City: Doraville
State: GA

Zip

30340-

Cell

(404) 942-9402

Family Status

Adult couple-no children

COB

El Salvador

Gender

Female

Housing

Doubling Up

Education Level

Grade school

Home Owner

YES

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