Pancho - MOR-VIC-87

Code: MOR-VIC-87
Mercy ID: V-02072-01
Encounter Date: 10/14/2005
Last: Morales
First: Victoria
DOB: 10/13/1987
County: Fulton
Street: 2476 Adina Dr. #5
City: Atlanta
State: GA

Zip

30324-

Home

(678) 732-6723

Family Status

Adult coupie-no children

COB

Mexico

Gender

Female

Housing

Not Homeless

Education Level

Other

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