GON-NAD-81

Code
GON-NAD-81
Mercy ID
V-03226-01
Encounter Date
12/22/2009
Last
Gonzalez
First
Nadia
DOB
02/03/1981
County
Henry
Street
410 Winter Lake Road
City
Mcdonald
State
GA
Zip
30324-
Cell
(678) 698-0637
Family Status
Single adult
COB
Mexico
Gender
Female
Housing
Doubling Up
Education Level
some high 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
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
G. Landeros
Data Entry
J. Manzo