Pancho - TOR-MAR-78

Code: TOR-MAR-78
Mercy ID: V-01577-01
Encounter Date: 04/19/2004
Last: Torres
First: Maria del rosar
DOB: 02/17/1978
County: Gwinnett
Street: 3201 Lia Hill
City: Norcross
State: GA

Zip

30071-

Home

(770) 242-9386

Family Status

Two parent family w/children

COB

Mexico

Gender

Female

Housing

Doubling Up

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
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