TOR-REB-73

Code
TOR-REB-73
Mercy ID
V-00671-01
Encounter Date
09/10/2001
Last
Torres
First
Rebeca
DOB
11/03/1973
County
Cobb
Street
409 Cool Springs Trace
City
Kenesaw
State
GA
Zip
30144-
Home
(770) 420-5995
Cell
(201) 563-8208
Family Status
Two parent family w/children
COB
Ecuador
Gender
Female
Housing
Single Family
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
NOTES
Lives With
N/A
Name of School
N/A
Grade
N/A
Who Can't Pickup the Child

Media

NO DOY PERMISO
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