Pancho - NAV-ROC-70

Code: NAV-ROC-70
Mercy ID: V-01000-01
Encounter Date: 08/28/2002
Last: Nava
First: Rocio
DOB: 12/19/1970
County: Fulton
Street: 201 Northwood Rd. NE L-2
City: Atlanta
State: GA

Zip

30342-4610

Home

(678) 754-3144

Family Status

Two parent family 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: YES
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. Perez
Data Entry: K. Aleman