SAL-NAN-76

Code
SAL-NAN-76
Mercy ID
V-00047-01
Encounter Date
01/26/2000
Last
Salado
First
Nancy
DOB
09/26/1976
County
Fulton
Street
300 Carpenter Dr #21
City
Atlanta
State
GA
Zip
30328-
Home
(404) 256-5038
Cell
(404) 488-4845
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
High school graduate
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
D. Gomez