Pancho - HER-BIB-77

Code: HER-BIB-77
Mercy ID: V-00396-01
Encounter Date: 01/23/2001
Last: Hernandez
First: Bibiana
DOB: 11/30/1977
County: Cobb
Street: 1250 Pawder Spring
City: Marietta
State: GA

Zip

30064-

Home

(770) 429-1978

Family Status

Single adult

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. Perez
Data Entry: D. Gomez