Pancho - TOR-MON-80

Code: TOR-MON-80
Mercy ID: V-02528-01
Encounter Date: 06/26/2007
Last: Torres
First: Monica
DOB: 08/19/1980
County: Other
Street: 185 Spring St.
City: Abbeville
State: GA

Zip

29620-

Cell

(404) 551-9705

Family Status

Two parent family w/children

COB

Mexico

Gender

Female

Housing

Not Homeless

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: G. Landeros
Data Entry: J. Manzo