Pancho - HER-SON-69

Code: HER-SON-69
Mercy ID: V-00429-01
Encounter Date: 02/27/2001
Last: Hernandez
First: Sonia
DOB: 02/07/1969
County: Fulton
Street: 1135 Old Roswell Rd
City: Roswell
State: GA

Zip

30076-

Home

(770) 578-4317

Family Status

Adult coupie-no children

COB

El Salvador

Gender

Female

Housing

Doubling Up

Education Level

some high 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: J. Perez
Data Entry: D. Gomez