Pancho - TOR-DIL-72

Code: TOR-DIL-72
Mercy ID: V-00604-01
Encounter Date: 07/12/2001
Last: Torres
First: Dilcia
DOB: 06/02/1972
County: Gwinnett
Street: 5858 William Rd.
City: Norcross
State: GA

Zip

30093-

Home

(770) 921-3356

Family Status

Two parent family w/children

COB

Honduras

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: 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: K. Aleman