ROC-NAN-64

Code
ROC-NAN-64
Mercy ID
V-01065-01
Encounter Date
12/30/2002
Last
Rocha
First
Nancy
DOB
04/12/1964
County
Fulton
Street
4818 Dvon
City
Alpharetta
State
GA
Zip
30004-
Home
(770) 569-5128
Family Status
Two parent family w/children
COB
Perú
Gender
Female
Housing
Doubling Up
Education Level
Vocational/Technical
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. Perez
Data Entry
J. Manzo