ROB-NEL-78

Code
ROB-NEL-78
Mercy ID
V-03083-01
Encounter Date
06/01/2009
Last
Robledo
First
Nelly
DOB
07/16/1978
County
Dekalb
Street
6660 Peachtree Ind. Blvd.
City
Doraville
State
GA
Zip
30360-
Cell
(404) 553-4444
Family Status
Single parent w/children
COB
Guatemala
Gender
Female
Housing
Doubling Up
Education Level
Grade school
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