TOR-SER-82

Code
TOR-SER-82
Mercy ID
V-02378-02
Encounter Date
01/09/2007
Last
Torres
First
Sergio
DOB
09/08/1982
County
Dekalb
Street
715 Jackson Mill Way
City
Lilburn
State
GA
Zip
30047-
Home
(770) 638-8906
Cell
(404) 964-1774
Family Status
Two parent family w/children
COB
Mexico
Gender
Male
Housing
Not Homeless
Education Level
some high 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
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
J. Manzo