Pancho - TOR-KAR-75

Code: TOR-KAR-75
Mercy ID: V-02086-01
Encounter Date: 11/03/2005
Last: Torres
First: Karina
DOB: 05/03/1975
County: Cherokee
Street: not given
City: Canton
State: GA

Zip

30155-

Home

(770) 362-9545

Family Status

Two parent family w/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