Pancho - TOR-MAR-63

Code: TOR-MAR-63
Mercy ID: V-00098-02
Encounter Date: 02/14/2000
Last: Torres
First: Mario
DOB: 10/20/1963
County: Dekalb
Street: 73 travis apt. 1
City: Stone mountain
State: GA

Zip

38083-

Home

(770) 465-4403

Family Status

Adult coupie-no children

COB

Mexico

Gender

Male

Housing

Not Homeless

Education Level

Adult, no formal education

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: 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: R. Miranda
Data Entry: Y. Garcia