Pancho - ABU-SOF-67

Code: ABU-SOF-67
Mercy ID: V-02160-01
Encounter Date: 01/30/2006
Last: Aburto
First: Sofia
DOB: 07/01/1967
County: Other
Street: 1301 Norton Rd. #1
City: Jonesboro
State: GA

Zip

30012-

Home

(770) 875-6188

Family Status

Single parent w/children

COB

Mexico

Gender

Female

Housing

Not Homeless

Education Level

Other

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: G. Landeros
Data Entry: R. Gonzalez