FLO-NAN-86

Code
FLO-NAN-86
Mercy ID
V-02689-01
Encounter Date
03/03/2008
Last
Flores
First
Nancy
DOB
04/24/1986
County
Gwinnett
Street
3232 West Hill # A
City
Norcross
State
GA
Zip
30093-
Cell
(404) 551-7174
Family Status
Single parent w/children
COB
Honduras
Gender
Female
Housing
Doubling Up
Education Level
Grade school
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
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
G. Landeros
Data Entry
J. Manzo