Code
TOR-MAR-59
Mercy ID
V-02761-01
Encounter Date
04/01/2008
Last
Torres
First
Martha
DOB
02/23/1959
County
Dekalb
Street
3510 Buford Hwy A--10
City
Atlanta
State
GA
Zip
30345-
Cell
(404) 552-5817
Family Status
Adult couple-no children
COB
Dominican Rep
Gender
Female
Housing
Single Family
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
No
Relative
No
Stranger
No
NOTES
Lives With
N/A
Name of School
N/A
Grade
N/A
Who Can't Pickup the Child

Media

NO DOY PERMISO
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