DEL-NAN-72

Code
DEL-NAN-72
Mercy ID
V-00280-01
Encounter Date
09/11/2000
Last
De leon
First
Nancy
DOB
05/05/1972
County
Dekalb
Street
2113 Brookenview Ave.
City
Doraville
State
GA
Zip
30340-
Home
(678) 969-0456
Family Status
Single parent w/children
COB
Dominican Rep
Gender
Female
Housing
Not Homeless
Education Level
some high 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
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
J. Manzo
Data Entry
Y. Garcia