RIC-NAD-78

Code
RIC-NAD-78
Mercy ID
V-02460-01
Encounter Date
04/05/2007
Last
Rico
First
Nadia
DOB
01/10/1978
County
Gordon
Street
502 Liberty Rd. SW
City
Calhum
State
GA
Zip
30701-
Home
(706) 602-9944
Family Status
Single parent w/children
COB
Mexico
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