MEN-NAR-64

Code
MEN-NAR-64
Mercy ID
V-02899-01
Encounter Date
09/17/2008
Last
Mendez
First
Narcy
DOB
02/14/1964
County
Fulton
Street
5675 Roswell Road NE Apt. 66-A
City
Atlanta
State
GA
Zip
30342-
Cell
(941) 592-1611
Family Status
Single adult
COB
Venezuela
Gender
Female
Housing
Single Family
Education Level
High school graduate
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
J. Perez
Data Entry
J. Manzo