Pancho - ESP-SON-72

Code: ESP-SON-72
Mercy ID: V-02042-01
Encounter Date: 09/20/2005
Last: Espinal
First: Sonia
DOB: 04/07/1972
County: Fulton
Street: 680 Georgia Ave
City: Forest park
State: GA

Zip

30297-

Cell

(678) 698-6501

Family Status

Single adult

COB

Honduras

Gender

Female

Housing

Doubling Up

Education Level

Grade 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: 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: G. Landeros
Data Entry: R. Gonzalez