Pancho - SOR-MAR-77

Code: SOR-MAR-77
Mercy ID: V-03476-01
Encounter Date: 11/15/2010
Last: Soriano
First: Maria del carmen
DOB: 07/06/1977
County: Fulton
Street: 4689 Roswell Rd. Ne. # L-8
City: Atlanta
State: GA

Zip

30342-

Cell

(678) 600-6652

Family Status

Two parent family w/children

COB

Mexico

Gender

Female

Housing

Single Family

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: YES
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: J. Manzo