VEL-NOR-65

Code
VEL-NOR-65
Mercy ID
V-02312-01
Encounter Date
07/25/2006
Last
Velasco
First
Nora
DOB
05/09/1965
County
Cherokee
Street
238 Hillcrest
City
Canton
State
GA
Zip
30115-
Cell
(404) 642-7277
Family Status
Two parent family w/children
COB
Honduras
Gender
Female
Housing
Not Homeless
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
G. Landeros
Data Entry
J. Manzo