Pancho - SOT-PAT-83

Code: SOT-PAT-83
Mercy ID: V-01238-01
Encounter Date: 05/21/2003
Last: Soto
First: Patty
DOB: 08/07/1983
County: Gwinnett
Street: 2680 Landington Way
City: Duluth
State: GA

Zip

30096-

Home

(770) 582-0722

Family Status

Two parent family w/children

COB

Mexico

Gender

Female

Housing

Doubling Up

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: No
Limitado Educativo: No
Limitado Impresos: No
Limitado Caminar Latino: No

Intake: J. Perez
Data Entry: K. Aleman