NGU-TIS-90

Code
NGU-TIS-90
Mercy ID
V-03367-01
Encounter Date
07/21/2010
Last
Nguyen
First
Tissany
DOB
12/06/1990
County
Dekalb
Street
3814 Buford Hwy NE C-5
City
Atlanta
State
GA
Zip
30329-
Family Status
Single adult
COB
USA
Gender
Female
Housing
Doubling Up
Education Level
Grade school
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
J. Perez
Data Entry
J. Manzo