TOR-LET-74

Code
TOR-LET-74
Mercy ID
V-03173-01
Encounter Date
09/24/2009
Last
Torres
First
Leticia
DOB
12/15/1974
County
Barrow
Street
608 Raleigh Ct.
City
Winder
State
GA
Zip
30680-
Cell
(770) 771-1624
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Single Family
Education Level
H.S. equivalency diploma
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
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