NUÑ-MAR-81

Code
NUÑ-MAR-81
Mercy ID
V-03510-01
Encounter Date
01/25/2011
Last
Nuñez
First
Martha
DOB
02/09/1981
County
Fulton
Street
2400 Riverwood Lane
City
Roswell
State
GA
Zip
30075-
Cell
(404) 447-8167
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Single Family
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
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

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