Pancho - TOV-MAR-62

Code: TOV-MAR-62
Mercy ID: V-03250-01
Encounter Date: 02/02/2010
Last: Tovar
First: Maria del socorro
DOB: 02/26/1962
County: Gwinnett
Street: 57 W. Mockingbird Lane
City: Lawerenceville
State: GA

Zip

30044-

Home

(678) 924-0223

Family Status

Two parent family w/children

COB

Mexico

Gender

Female

Housing

Single Family

Education Level

Grade school

Home Owner

YES

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: J. Manzo