MON-NEL-59

Code
MON-NEL-59
Mercy ID
V-02856-01
Encounter Date
07/23/2008
Last
Montañez
First
Nelly
DOB
11/08/1959
County
Gwinnett
Street
999 no la quiso dar
City
Dacula
State
GA
Zip
30019-
Cell
(678) 499-0257
Family Status
Single parent w/children
COB
Colombia
Gender
Female
Housing
Single Family
Education Level
College Degree
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