VAR-NOR-66

Code
VAR-NOR-66
Mercy ID
V-02295-01
Encounter Date
08/15/2006
Last
Varas
First
Nora
DOB
04/26/1966
County
Cowetta
Street
6430 Luthersville Rd.
City
Gay
State
GA
Zip
30218-
Cell
(770) 927-6499
Family Status
Two parent family w/children
COB
Perú
Gender
Female
Housing
Doubling Up
Education Level
Vocational/Technical
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

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