NAC-NAN-53

Code
NAC-NAN-53
Mercy ID
V-02914-01
Encounter Date
10/13/2008
Last
Nacara
First
Nancy
DOB
07/17/1953
County
Fulton
Street
3585 Apple Circle Road
City
Riverdale
State
GA
Zip
30296-
Cell
(305) 409-7463
Family Status
Single adult
COB
Colombia
Gender
Female
Housing
Doubling Up
Education Level
Post Grad Degree

Spouse Information

Last
No lo quiso dar
First
Militar
DOB
N/A
Address
N/A
Telephone
N/A
COB
USA
Home Owner
YES
Driver
No
Home Owner
No
SOLO
No
Court Mandated
No
Program Completed
No
DFCS Mandated
No
Alcohol & Drug
No
Partner Referred to Tepestri
No
Recidivism/Court
No
New Incident
No
Promesa de Confidencialidad
No
Consentimiento De Participar
No

Petitioner

TPO
No
Stay Away Condition
No
Mutual
No

Defendant

TPO
No
Stay Away Condition
No
Mutual
No
Driver
No
As A Child
No
Relative
No
Stranger
No
As An Adult
No
Partner
No
Relative
No
Stranger
No

Children

NAME DOB LIVING WITH STATE/COUNTRY
Nolo quiso dar-Adultos N/A N/A GA/USA
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
G. Landeros
Data Entry
J. Manzo
Referred By
linea-Griselda