MAR-NAN-71

Code
MAR-NAN-71
Mercy ID
V-00536-01
Encounter Date
05/31/2001
Last
Martinez
First
Nancy
DOB
01/01/1971
County
Dekalb
Street
822 Columbia Dr.
City
Decatur
State
GA
Zip
30030-
Home
(404) 284-5017
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
Vocational/Technical
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
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. Perez
Data Entry
K. Aleman