NOL-NOR-89

Code
NOL-NOR-89
Mercy ID
V-03304-01
Encounter Date
04/20/2010
Last
Nolasco
First
Norma
DOB
12/16/1989
County
Dekalb
Street
363 Shallowford Road
City
Doraville
State
GA
Zip
30340-
Cell
(404) 789-5475
Family Status
Single parent w/children
COB
Honduras
Gender
Female
Housing
Doubling Up
Education Level
Adult, no formal education
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