HEN-MIL-81

Code
HEN-MIL-81
Mercy ID
V-02474-01
Encounter Date
04/18/2007
Last
Henao
First
Milena
DOB
06/22/1981
County
Hall
Street
5031 merlin dr.
City
Gainsville
State
GA
Zip
30566-
Home
(770) 374-0394
Family Status
Single adult
COB
Colombia
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