Pancho - VIO-VAN-83

Code: VIO-VAN-83
Mercy ID: V-00374-11
Encounter Date: 12/29/2000
Last: Violante
First: Vanesa
DOB: 10/02/1983
County: Cobb
Street: 2345 cobb parkway
City: Smyrna
State: GA

Zip

30080-

Home

(770) 952-9667

Family Status

Attached youth

COB

Mexico

Gender

Female Child

Housing

Doubling Up

Education Level

some high school

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. Manzo
Data Entry: S. Aviña