NAV-ILS-78

Code
NAV-ILS-78
Mercy ID
V-00571-01
Encounter Date
06/28/2001
Last
Navarro
First
Ilse
DOB
11/16/1978
County
Gwinnett
Street
6259 Norcross Tucker Rd. Z-6
City
Tucker
State
GA
Zip
30084-
Home
(770) 934-1051
Family Status
Two parent family w/children
COB
Guatemala
Gender
Female
Housing
Doubling Up
Education Level
Grade 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
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
J. Manzo
Data Entry
K. Aleman