POL-NIK-73

Code
POL-NIK-73
Mercy ID
V-02306-01
Encounter Date
07/11/2006
Last
Polanca
First
Nikauly
DOB
12/02/1973
County
Clayton
Street
1590 Dellwood
City
Lake city
State
GA
Zip
30260-
Cell
(404) 366-3256
Family Status
Single parent w/children
COB
Puerto Rico
Gender
Female
Housing
Doubling Up
Education Level
High school graduate
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
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
G. Landeros
Data Entry
J. Manzo