ROS-NOR-72

Code
ROS-NOR-72
Mercy ID
V-02638-01
Encounter Date
11/09/2007
Last
Morales
First
Nora
DOB
05/03/1972
County
Gwinnett
Street
4305 Paxton Lane Apt, I-51
City
Lilburn
State
GA
Zip
30047-
Cell
(678) 558-2055
Family Status
Single parent w/children
COB
Puerto Rico
Gender
Female
Housing
Not Homeless
Education Level
Some College
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
J. Manzo