Pancho - TOR-DOR-66

Code: TOR-DOR-66
Mercy ID: V-01559-01
Encounter Date: 03/31/2004
Last: Torres
First: Dora
DOB: 04/19/1966
County: Gwinnett
Street: 3760 Rhoanoke Ct.
City: Duluth
State: GA

Zip

30096-

Home

(404) 914-6103

Cell

(404) 276-1322

Family Status

Two parent family w/children

COB

El Salvador

Gender

Female

Housing

Doubling Up

Education Level

some high 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. Perez
Data Entry: K. Aleman