RAM-NAN-85

Code
RAM-NAN-85
Mercy ID
V-02719-01
Encounter Date
06/22/2010
Last
Ramos
First
Nancy
DOB
08/24/1985
County
Dekalb
Street
3853 Janet Dr.
City
Doraville
State
GA
Zip
30340-
Cell
(404) 396-8508
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
High school graduate
Home Owner
YES

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