Pancho - RAM-LET-74

Code: RAM-LET-74
Mercy ID: V-03237-01
Encounter Date: 01/13/2010
Last: Ramos
First: Leticia
DOB: 12/09/1974
County: Cobb
Street: 1794 James Dr.
City: Marietta
State: GA

Zip

30060-

Cell

(770) 709-1658

Family Status

Single parent w/children

COB

Mexico

Gender

Female

Housing

Single Family

Education Level

Grade 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
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: YES
Limitado Educativo: No
Limitado Impresos: No
Limitado Caminar Latino: No

Intake: C. Martinez
Data Entry: J. Manzo