Code
FLO-NOH-78
Mercy ID
V-02283-01
Encounter Date
07/05/2006
Last
Flores
First
Nohemi estela
DOB
01/01/1978
County
Gwinnett
Street
659 Southwind Dr.
City
Lilburn
State
GA
Zip
30047-
Family Status
Single adult
COB
Honduras
Gender
Female
Housing
Doubling Up
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
Abuela materna en Honduras
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