TOR-YUS-76

Code
TOR-YUS-76
Mercy ID
V-01788-01
Encounter Date
12/22/2004
Last
Torres
First
Yusy estela
DOB
11/04/1976
County
Other
Street
143 Howard Ave.
City
Southbound brook
State
NJ
Zip
08880-
Home
(732) 868-0904
Family Status
Single parent w/children
COB
Colombia
Gender
Female
Housing
Doubling Up
Education Level
College Degree
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
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
J. Manzo
Data Entry
K. Aleman