PAL-NUR-51

Code
PAL-NUR-51
Mercy ID
V-01750-01
Encounter Date
11/15/2004
Last
Palacios
First
Nury
DOB
06/08/1951
County
Gwinnett
Street
950 Bermuda Ct.
City
Laurel
State
GA
Zip
30044-
Home
(770) 374-4047
Family Status
Single adult
COB
Colombia
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
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
K. Aleman