Pancho - VAL-ILI-68

Code: VAL-ILI-68
Mercy ID: V-00226-01
Encounter Date: 05/24/2000
Last: Valverde hayes
First: Iliana
DOB: 10/29/1968
County: Fulton
Street: 125 rivers point ct
City: Alpharetta
State: GA

Zip

30022-

Home

(770) 643-5971

Family Status

Single adult

COB

Perú

Gender

Female

Housing

Doubling Up

Education Level

High school graduate

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: J. Manzo
Data Entry: S. Aviña