Pancho - NAV-ROS-72

Code: NAV-ROS-72
Mercy ID: V-00810-01
Encounter Date: 01/21/2002
Last: Navarrete
First: Rosalinda
DOB: 11/17/1972
County: Dekalb
Street: 2121 Bragg Lot-6
City: Atlanta
State: GA

Zip

30341-

Home

(404) 325-4615

Family Status

Single adult

COB

Mexico

Gender

Female

Housing

Shelter

Education Level

some high 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
Lives With: N/A
Name of School: N/A
Grade: N/A
Who Can't Pickup the Child
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