Pancho - TOR-LOR-77

Code: TOR-LOR-77
Mercy ID: V-01213-01
Encounter Date: 04/30/2003
Last: Torres
First: Lorena
DOB: 06/15/1977
County: Gwinnett
Street: 4470 Anderson Livsey
City: Snellville
State: GA

Zip

30039-

Home

(770) 979-0965

Family Status

Two parent family w/children

COB

Mexico

Gender

Female

Housing

Not Homeless

Education Level

Vocational/Technical

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. Manzo
Data Entry: K. Aleman