Pancho - ORT-SON-66

Code: ORT-SON-66
Mercy ID: V-00502-01
Encounter Date: 09/25/2001
Last: Ortiz
First: Sonia
DOB: 12/01/1966
County: Dekalb
Street: 131 Brook Ridge
City: Doraville
State: GA

Zip

30340-

Home

(770) 840-7201

Family Status

Single parent w/children

COB

Mexico

Gender

Female

Housing

Not Homeless

Education Level

Grade 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. Perez
Data Entry: K. Aleman